Provider Demographics
NPI:1467554865
Name:COUNTY OF LINCOLN SCHOOL DIST 73
Entity type:Organization
Organization Name:COUNTY OF LINCOLN SCHOOL DIST 73
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:K
Authorized Official - Last Name:KENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-636-2721
Mailing Address - Street 1:PO BOX 17
Mailing Address - Street 2:
Mailing Address - City:CRESTON
Mailing Address - State:WA
Mailing Address - Zip Code:99117-0238
Mailing Address - Country:US
Mailing Address - Phone:509-636-2721
Mailing Address - Fax:509-636-2910
Practice Address - Street 1:485 SE E STREET
Practice Address - Street 2:
Practice Address - City:CRESTON
Practice Address - State:WA
Practice Address - Zip Code:99117
Practice Address - Country:US
Practice Address - Phone:509-636-2721
Practice Address - Fax:509-636-2910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7440787Medicaid