Provider Demographics
NPI:1629087747
Name:STARBUCK SCHOOL DISTRICT
Entity Type:Organization
Organization Name:STARBUCK SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBENSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-399-2381
Mailing Address - Street 1:717 TUCANNON STREET
Mailing Address - Street 2:
Mailing Address - City:STARBUCK
Mailing Address - State:WA
Mailing Address - Zip Code:99359-0188
Mailing Address - Country:US
Mailing Address - Phone:509-399-2391
Mailing Address - Fax:509-399-2381
Practice Address - Street 1:717 TUCANNON STREET
Practice Address - Street 2:
Practice Address - City:STARBUCK
Practice Address - State:WA
Practice Address - Zip Code:99359-0188
Practice Address - Country:US
Practice Address - Phone:509-399-2391
Practice Address - Fax:509-399-2381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7441579Medicaid