Provider Demographics
NPI: | 1720178874 |
---|---|
Name: | LINN CO SCHOOL DIST |
Entity Type: | Organization |
Organization Name: | LINN CO SCHOOL DIST |
Other - Org Name: | HARRISBURG SCHOOL DIST 7 |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | BUSINESS MGR/DEPUTY CLERK |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DEBORAH |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | DARST |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 541-995-6626 |
Mailing Address - Street 1: | PO BOX 208 |
Mailing Address - Street 2: | |
Mailing Address - City: | HARRISBURG |
Mailing Address - State: | OR |
Mailing Address - Zip Code: | 97446 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 541-995-6626 |
Mailing Address - Fax: | 541-995-3453 |
Practice Address - Street 1: | 865 LASALLE ST |
Practice Address - Street 2: | |
Practice Address - City: | HARRISBURG |
Practice Address - State: | OR |
Practice Address - Zip Code: | 97446 |
Practice Address - Country: | US |
Practice Address - Phone: | 541-995-6626 |
Practice Address - Fax: | 541-995-3453 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-10-12 |
Last Update Date: | 2008-07-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251300000X | Agencies | Local Education Agency (LEA) |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
OR | 048236 | Medicaid |