Provider Demographics
NPI:1356477004
Name:MORRISTOWN ELEMENTARY SCHOOL
Entity type:Organization
Organization Name:MORRISTOWN ELEMENTARY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT/PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PETTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-546-5100
Mailing Address - Street 1:25950 W. ROCKAWAY HILLS RD P.O. BOX 98
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:AZ
Mailing Address - Zip Code:85342
Mailing Address - Country:US
Mailing Address - Phone:623-546-5100
Mailing Address - Fax:623-388-9368
Practice Address - Street 1:25950 ROCKAWAY HILLS DRIVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:AZ
Practice Address - Zip Code:85342
Practice Address - Country:US
Practice Address - Phone:623-388-2336
Practice Address - Fax:623-388-9368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ704313Medicaid