Provider Demographics
NPI:1699822965
Name:PALOMINAS SCHOLL DISTRICT
Entity Type:Organization
Organization Name:PALOMINAS SCHOLL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL SERVICES DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-366-6204
Mailing Address - Street 1:3478 E KALISPELL AVE
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85650-9205
Mailing Address - Country:US
Mailing Address - Phone:520-378-4815
Mailing Address - Fax:
Practice Address - Street 1:10385 E HWY 92
Practice Address - Street 2:PALOMINAS SCHOOL DISTRICT
Practice Address - City:HEREFORD
Practice Address - State:AZ
Practice Address - Zip Code:85615-1111
Practice Address - Country:US
Practice Address - Phone:520-366-6204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)