Provider Demographics
NPI:1720497084
Name:SCHOOL DIST OF WASHINGTON MO
Entity Type:Organization
Organization Name:SCHOOL DIST OF WASHINGTON MO
Other - Org Name:WASHINGTON
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR STUDENT SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-231-2000
Mailing Address - Street 1:220 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-2829
Mailing Address - Country:US
Mailing Address - Phone:636-231-2000
Mailing Address - Fax:
Practice Address - Street 1:220 LOCUST ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-2829
Practice Address - Country:US
Practice Address - Phone:636-231-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-11
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOPENDINGMedicaid