Provider Demographics
NPI:1740385905
Name:BOX ELDER SCHOOL DISTRICT K-12
Entity Type:Organization
Organization Name:BOX ELDER SCHOOL DISTRICT K-12
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROUGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-734-4800
Mailing Address - Street 1:960 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-3139
Mailing Address - Country:US
Mailing Address - Phone:435-734-4800
Mailing Address - Fax:435-734-4833
Practice Address - Street 1:960 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-3139
Practice Address - Country:US
Practice Address - Phone:435-734-4800
Practice Address - Fax:435-734-4833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)