Provider Demographics
NPI:1689723470
Name:JOSEPH CITY UNIFIED SCHOOL DISTRICT #2
Entity Type:Organization
Organization Name:JOSEPH CITY UNIFIED SCHOOL DISTRICT #2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-288-3307
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:JOSEPH CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86032-0008
Mailing Address - Country:US
Mailing Address - Phone:928-288-3307
Mailing Address - Fax:928-288-3309
Practice Address - Street 1:8176 N. WESTOVER
Practice Address - Street 2:
Practice Address - City:JOSEPH CITY
Practice Address - State:AZ
Practice Address - Zip Code:86032
Practice Address - Country:US
Practice Address - Phone:928-288-3307
Practice Address - Fax:928-288-3309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ581315Medicaid