Provider Demographics
NPI:1689815342
Name:MATANUSKA-SUSITNA BOROUGH SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MATANUSKA-SUSITNA BOROUGH SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR STUDENT SUPPORT
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-746-9216
Mailing Address - Street 1:501 N GULKANA ST
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-6147
Mailing Address - Country:US
Mailing Address - Phone:907-746-9233
Mailing Address - Fax:
Practice Address - Street 1:501 N GULKANA ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6147
Practice Address - Country:US
Practice Address - Phone:907-746-9233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)