Provider Demographics
NPI:1063693620
Name:PARKER UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:PARKER UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:UDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-669-9244
Mailing Address - Street 1:1608 LAGUNA
Mailing Address - Street 2:P.O. BOX 1090
Mailing Address - City:PARKER
Mailing Address - State:AZ
Mailing Address - Zip Code:85344-6201
Mailing Address - Country:US
Mailing Address - Phone:928-669-9244
Mailing Address - Fax:928-669-2515
Practice Address - Street 1:1608 S LAGUNA AVE
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:AZ
Practice Address - Zip Code:85344-6360
Practice Address - Country:US
Practice Address - Phone:928-669-9244
Practice Address - Fax:928-669-2515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ756942OtherAHCCCS