Provider Demographics
NPI:1952439838
Name:COUNTY OF GRAHAM
Entity Type:Organization
Organization Name:COUNTY OF GRAHAM
Other - Org Name:THATCHER PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF SUPPORT SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-348-7200
Mailing Address - Street 1:PO BOX 610
Mailing Address - Street 2:
Mailing Address - City:THATCHER
Mailing Address - State:AZ
Mailing Address - Zip Code:85552-0610
Mailing Address - Country:US
Mailing Address - Phone:928-348-7200
Mailing Address - Fax:028-348-7220
Practice Address - Street 1:3490 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:THATCHER
Practice Address - State:AZ
Practice Address - Zip Code:85552
Practice Address - Country:US
Practice Address - Phone:928-348-7200
Practice Address - Fax:928-348-7220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ05026102251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)