Provider Demographics
NPI:1992992903
Name:MINGUS UNION HIGH SCHOOL DISTRICT 4
Entity type:Organization
Organization Name:MINGUS UNION HIGH SCHOOL DISTRICT 4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:G
Authorized Official - Last Name:GORDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-649-4476
Mailing Address - Street 1:1801 E FIR ST
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-4556
Mailing Address - Country:US
Mailing Address - Phone:928-649-4406
Mailing Address - Fax:928-639-4236
Practice Address - Street 1:1801 E FIR ST
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4556
Practice Address - Country:US
Practice Address - Phone:928-649-4406
Practice Address - Fax:928-639-4236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)