Provider Demographics
NPI:1568514735
Name:JORDAN SCHOOL DISTRICT
Entity Type:Organization
Organization Name:JORDAN SCHOOL DISTRICT
Other - Org Name:JORDAN SCHOOL DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:J
Authorized Official - Middle Name:CALVIN
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-412-2535
Mailing Address - Street 1:7501 S 1000 E
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-2909
Mailing Address - Country:US
Mailing Address - Phone:801-412-2535
Mailing Address - Fax:801-412-2517
Practice Address - Street 1:7501 S 1000 E
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-2909
Practice Address - Country:US
Practice Address - Phone:801-412-2535
Practice Address - Fax:801-412-2517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)