Provider Demographics
NPI:1962527002
Name:YOUNG ELEMENTARY SCHOOL DISTRICT #5
Entity type:Organization
Organization Name:YOUNG ELEMENTARY SCHOOL DISTRICT #5
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ULLERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-462-3244
Mailing Address - Street 1:PO BOX 390
Mailing Address - Street 2:
Mailing Address - City:YOUNG
Mailing Address - State:AZ
Mailing Address - Zip Code:85554-0390
Mailing Address - Country:US
Mailing Address - Phone:928-462-3244
Mailing Address - Fax:928-462-3283
Practice Address - Street 1:46878 HWY 288
Practice Address - Street 2:
Practice Address - City:YOUNG
Practice Address - State:AZ
Practice Address - Zip Code:85554-0390
Practice Address - Country:US
Practice Address - Phone:928-462-3244
Practice Address - Fax:928-462-3283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)