Provider Demographics
NPI:1831455849
Name:THATCHER UNIFIED SCHOOL DISTRICT #4
Entity type:Organization
Organization Name:THATCHER UNIFIED SCHOOL DISTRICT #4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-348-7200
Mailing Address - Street 1:3490 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:THATCHER
Mailing Address - State:AZ
Mailing Address - Zip Code:85552-5713
Mailing Address - Country:US
Mailing Address - Phone:928-348-7200
Mailing Address - Fax:928-348-7253
Practice Address - Street 1:3490 W MAIN ST
Practice Address - Street 2:
Practice Address - City:THATCHER
Practice Address - State:AZ
Practice Address - Zip Code:85552-5713
Practice Address - Country:US
Practice Address - Phone:928-348-7200
Practice Address - Fax:928-348-7253
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOCAL EDUCATION AGENCY (LEA)
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN101974251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)