Provider Demographics
NPI:1770784845
Name:HOLBROOK UNIFIED SCHOOL DISTRICT #3
Entity type:Organization
Organization Name:HOLBROOK UNIFIED SCHOOL DISTRICT #3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-524-6144
Mailing Address - Street 1:PO BOX 640
Mailing Address - Street 2:1000 NORTH 8TH AVE.
Mailing Address - City:HOLBROOK
Mailing Address - State:AZ
Mailing Address - Zip Code:86025-0640
Mailing Address - Country:US
Mailing Address - Phone:928-524-6144
Mailing Address - Fax:928-524-3073
Practice Address - Street 1:412 W BUFFALO ST
Practice Address - Street 2:412 WEST BUFFALO
Practice Address - City:HOLBROOK
Practice Address - State:AZ
Practice Address - Zip Code:86025-2855
Practice Address - Country:US
Practice Address - Phone:928-524-6144
Practice Address - Fax:928-524-3073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)