Provider Demographics
NPI:1942492285
Name:WINDOW ROCK UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WINDOW ROCK UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-729-6716
Mailing Address - Street 1:NAVAJO ROUTE 12 WINDOW ROCK UNIFIED SCHOOL DISTRICT
Mailing Address - Street 2:BOX 559
Mailing Address - City:FORT DEFIANCE
Mailing Address - State:AZ
Mailing Address - Zip Code:86504-0559
Mailing Address - Country:US
Mailing Address - Phone:928-729-6753
Mailing Address - Fax:928-729-7630
Practice Address - Street 1:NAVAJO ROUTE 12
Practice Address - Street 2:
Practice Address - City:FORT DEFIANCE
Practice Address - State:AZ
Practice Address - Zip Code:86504-0559
Practice Address - Country:US
Practice Address - Phone:928-729-6753
Practice Address - Fax:928-729-7630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)