Provider Demographics
NPI:1669402806
Name:DARRINGTON SCHOOL DISTRICT #330
Entity type:Organization
Organization Name:DARRINGTON SCHOOL DISTRICT #330
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL SERVICES SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-436-1313
Mailing Address - Street 1:1075 FIR ST
Mailing Address - Street 2:PO BOX 27
Mailing Address - City:DARRINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98241
Mailing Address - Country:US
Mailing Address - Phone:360-436-1313
Mailing Address - Fax:360-436-0592
Practice Address - Street 1:1075 FIR ST
Practice Address - Street 2:
Practice Address - City:DARRINGTON
Practice Address - State:WA
Practice Address - Zip Code:98241
Practice Address - Country:US
Practice Address - Phone:360-436-1313
Practice Address - Fax:360-436-0592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
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
WA7443070Medicaid