Provider Demographics
NPI:1972821551
Name:KETCHIKAN GATEWAY BOROUGH SCHOOL DISTRICT
Entity Type:Organization
Organization Name:KETCHIKAN GATEWAY BOROUGH SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:C
Authorized Official - Last Name:GROVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-247-2116
Mailing Address - Street 1:333 SCHOENBAR RD
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-6278
Mailing Address - Country:US
Mailing Address - Phone:907-247-2109
Mailing Address - Fax:907-247-3823
Practice Address - Street 1:2610 4TH AVE
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5708
Practice Address - Country:US
Practice Address - Phone:907-247-2116
Practice Address - Fax:907-247-3823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)