Provider Demographics
NPI:1679645220
Name:BRINNON SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BRINNON SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-796-4646
Mailing Address - Street 1:46 SCHOOLHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:BRINNON
Mailing Address - State:WA
Mailing Address - Zip Code:98320-9651
Mailing Address - Country:US
Mailing Address - Phone:360-796-4646
Mailing Address - Fax:
Practice Address - Street 1:46 SCHOOLHOUSE RD
Practice Address - Street 2:
Practice Address - City:BRINNON
Practice Address - State:WA
Practice Address - Zip Code:98320-9651
Practice Address - Country:US
Practice Address - Phone:360-796-4646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
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
WA7441686Medicaid