Provider Demographics
NPI:1558308544
Name:SULTAN SCHOOL DISTRICT # 311
Entity Type:Organization
Organization Name:SULTAN SCHOOL DISTRICT # 311
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-793-9801
Mailing Address - Street 1:514 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SULTAN
Mailing Address - State:WA
Mailing Address - Zip Code:98294-9474
Mailing Address - Country:US
Mailing Address - Phone:360-793-9800
Mailing Address - Fax:360-793-9890
Practice Address - Street 1:514 4TH ST
Practice Address - Street 2:
Practice Address - City:SULTAN
Practice Address - State:WA
Practice Address - Zip Code:98294-9474
Practice Address - Country:US
Practice Address - Phone:360-793-9800
Practice Address - Fax:360-793-9890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7440548Medicaid