Provider Demographics
NPI:1649482472
Name:CAMAS COUNTY SCHOOL DISTRICT #121
Entity type:Organization
Organization Name:CAMAS COUNTY SCHOOL DISTRICT #121
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JT
Authorized Official - Middle Name:
Authorized Official - Last Name:STRODER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-764-2472
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:ID
Mailing Address - Zip Code:83327-0370
Mailing Address - Country:US
Mailing Address - Phone:208-764-2472
Mailing Address - Fax:
Practice Address - Street 1:610 SOLDIER ROAD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:ID
Practice Address - Zip Code:83327-0370
Practice Address - Country:US
Practice Address - Phone:208-764-2472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)