Provider Demographics
NPI:1962520643
Name:COUNTY OF GILA MIAMI AREA UNIFIED SCH DIST NO 40
Entity type:Organization
Organization Name:COUNTY OF GILA MIAMI AREA UNIFIED SCH DIST NO 40
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-425-3271
Mailing Address - Street 1:PO BOX H
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:AZ
Mailing Address - Zip Code:85539-0737
Mailing Address - Country:US
Mailing Address - Phone:928-425-3271
Mailing Address - Fax:928-425-8582
Practice Address - Street 1:4657 RAGUS ROAD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:AZ
Practice Address - Zip Code:85539
Practice Address - Country:US
Practice Address - Phone:928-425-3271
Practice Address - Fax:928-425-8582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)