Provider Demographics
NPI:1336172550
Name:LIND SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LIND SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VIOLET
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-677-3481
Mailing Address - Street 1:206 W THIRD STREET
Mailing Address - Street 2:PO BOX 340
Mailing Address - City:LIND
Mailing Address - State:WA
Mailing Address - Zip Code:99341-0340
Mailing Address - Country:US
Mailing Address - Phone:509-677-3481
Mailing Address - Fax:509-677-3463
Practice Address - Street 1:206 W THIRD STREET
Practice Address - Street 2:
Practice Address - City:LIND
Practice Address - State:WA
Practice Address - Zip Code:99341-0340
Practice Address - Country:US
Practice Address - Phone:509-677-3481
Practice Address - Fax:509-677-3463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7440951Medicaid