Provider Demographics
NPI:1942413364
Name:QUARTZSITE ELEMENTARY SCHOOL DISTRICT #4
Entity Type:Organization
Organization Name:QUARTZSITE ELEMENTARY SCHOOL DISTRICT #4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-923-7907
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:EHRENBERG
Mailing Address - State:AZ
Mailing Address - Zip Code:85334-0130
Mailing Address - Country:US
Mailing Address - Phone:928-923-7900
Mailing Address - Fax:928-923-8908
Practice Address - Street 1:49241 PARKER EHRENBERG HWY.
Practice Address - Street 2:
Practice Address - City:EHRENBERG
Practice Address - State:AZ
Practice Address - Zip Code:85334
Practice Address - Country:US
Practice Address - Phone:928-923-7907
Practice Address - Fax:928-923-8908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
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)