Healthcare Provider Details

I. General information

NPI: 1629182571
Provider Name (Legal Business Name): TOLEDO SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 5TH ST
TOLEDO WA
98591
US

IV. Provider business mailing address

155 5TH ST PO BOX 469
TOLEDO WA
98591
US

V. Phone/Fax

Practice location:
  • Phone: 360-864-6325
  • Fax:
Mailing address:
  • Phone: 360-864-6325
  • Fax:

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: REBECCA J TURNBULL
Title or Position: DIRECTOR, LEWIS CO. SP. ED. CO-OP
Credential:
Phone: 360-748-3384