MEDICARE: WAPATO SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881783629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAPATO SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	212 W 3RD ST
Second Line	:	PO BOX 38
City	:	WAPATO
State	:	WA
Zip	:	98951-1308
Country	:	US
Telephone Number	:	509-877-4552
Fax Number	:	509-877-6077

Provider Business Practice Location Address
First Line	:	212 W 3RD ST
Second Line	:
City	:	WAPATO
State	:	WA
Zip	:	98951-1308
Country	:	US
Telephone Number	:	509-877-4552
Fax Number	:	509-877-6077

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MRS. ANGELA M WATTS
Credential	:
Telephone Number	:	509-877-4181

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/22/2020

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Directions to “WAPATO SCHOOL DISTRICT ” Practice Location

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