Healthcare Provider Details

I. General information

NPI: 1275694200
Provider Name (Legal Business Name): HIGH DESERT EDUCATION SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 NW WALL ST
BEND OR
97701-2608
US

IV. Provider business mailing address

520 NW WALL ST
BEND OR
97701-2608
US

V. Phone/Fax

Practice location:
  • Phone: 541-693-5706
  • Fax:
Mailing address:
  • Phone: 541-693-5706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier240219
Identifier TypeOTHER
Identifier StateOR
Identifier IssuerSCHOOL BASED

VIII. Authorized Official

Name: MR. DENNIS DEMPSEY
Title or Position: SUPERINTENDENT
Credential:
Phone: 541-693-5602