Provider Demographics
NPI:1881603470
Name:SELKIRK SCHOOL DISTRICT
Entity type:Organization
Organization Name:SELKIRK SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOTZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-446-2951
Mailing Address - Street 1:10372 HIGHWAY 31
Mailing Address - Street 2:PO BOX 129
Mailing Address - City:METALINE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:99153-0129
Mailing Address - Country:US
Mailing Address - Phone:509-446-2951
Mailing Address - Fax:509-446-2929
Practice Address - Street 1:10372 HIGHWAY 31
Practice Address - Street 2:
Practice Address - City:METALINE FALLS
Practice Address - State:WA
Practice Address - Zip Code:99153-0129
Practice Address - Country:US
Practice Address - Phone:509-446-2951
Practice Address - Fax:509-446-2929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7404908Medicaid