Provider Demographics
NPI:1063552370
Name:GADSDEN ELEMENTARY SCHOOL DISTRICT #32
Entity type:Organization
Organization Name:GADSDEN ELEMENTARY SCHOOL DISTRICT #32
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:EDS
Authorized Official - Phone:928-627-6569
Mailing Address - Street 1:1453 N. MAIN ST SUITE F
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS
Mailing Address - State:AZ
Mailing Address - Zip Code:85349
Mailing Address - Country:US
Mailing Address - Phone:928-627-6569
Mailing Address - Fax:928-627-3635
Practice Address - Street 1:1453 N. MAIN ST SUITE F
Practice Address - Street 2:
Practice Address - City:SAN LUIS
Practice Address - State:AZ
Practice Address - Zip Code:85349
Practice Address - Country:US
Practice Address - Phone:928-627-6569
Practice Address - Fax:928-627-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ588551OtherAHCCCS