Provider Demographics
NPI:1780067686
Name:IDITAROD AREA SCHOOL DISTRICT
Entity type:Organization
Organization Name:IDITAROD AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/SPED DEPARTMENT
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-524-1226
Mailing Address - Street 1:PO BOX 90
Mailing Address - Street 2:
Mailing Address - City:MC GRATH
Mailing Address - State:AK
Mailing Address - Zip Code:99627-0090
Mailing Address - Country:US
Mailing Address - Phone:907-524-1226
Mailing Address - Fax:188-878-7860
Practice Address - Street 1:90 CHINANA AVE
Practice Address - Street 2:
Practice Address - City:MCGRATH
Practice Address - State:AK
Practice Address - Zip Code:99627
Practice Address - Country:US
Practice Address - Phone:907-524-1226
Practice Address - Fax:888-787-8603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)