Provider Demographics
NPI:1538642467
Name:LANE COUNTY SCHOOL DISTRICT NO. 19
Entity Type:Organization
Organization Name:LANE COUNTY SCHOOL DISTRICT NO. 19
Other - Org Name:SPRINGFIELD SCHOOL DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:YANCEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-726-3206
Mailing Address - Street 1:640 A ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-4609
Mailing Address - Country:US
Mailing Address - Phone:541-726-3206
Mailing Address - Fax:
Practice Address - Street 1:640 A ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-4609
Practice Address - Country:US
Practice Address - Phone:541-726-3206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)