Healthcare Provider Details

I. General information

NPI: 1659483238
Provider Name (Legal Business Name): NORTH MASON SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 E CAMPUS DR
BELFAIR WA
98528-8305
US

IV. Provider business mailing address

71 E CAMPUS DR
BELFAIR WA
98528-8305
US

V. Phone/Fax

Practice location:
  • Phone: 360-277-2111
  • Fax: 360-277-2321
Mailing address:
  • Phone: 360-277-2111
  • Fax: 360-277-2321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. SANDRA R NAGLI
Title or Position: DIRECTOR OF BUSINESS & FINANCE
Credential:
Phone: 360-277-2107