Provider Demographics
NPI:1790185791
Name:SPOKANE INTERNATIONAL ACADEMY
Entity Type:Organization
Organization Name:SPOKANE INTERNATIONAL ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL LEADER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-993-6892
Mailing Address - Street 1:18020 N REDOWA DR
Mailing Address - Street 2:
Mailing Address - City:COLBERT
Mailing Address - State:WA
Mailing Address - Zip Code:99005-9342
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18020 N REDOWA DR
Practice Address - Street 2:
Practice Address - City:COLBERT
Practice Address - State:WA
Practice Address - Zip Code:99005-9342
Practice Address - Country:US
Practice Address - Phone:509-993-6892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)