Provider Demographics
NPI:1720184856
Name:MURRAY CITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MURRAY CITY SCHOOL DISTRICT
Other - Org Name:MURRAY SCHOOL DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS ADMIISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LEFFEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-264-7400
Mailing Address - Street 1:147 E 5065 S
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-4819
Mailing Address - Country:US
Mailing Address - Phone:801-264-7400
Mailing Address - Fax:801-264-7456
Practice Address - Street 1:147 E 5065 S
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-4819
Practice Address - Country:US
Practice Address - Phone:801-264-7400
Practice Address - Fax:801-264-7456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
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
UT=========001Medicaid