Healthcare Provider Details

I. General information

NPI: 1407944028
Provider Name (Legal Business Name): WELLPINIT SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6270 FORD-WELLPINIT RD
WELLPINIT WA
99040-0390
US

IV. Provider business mailing address

6270 FORD-WELLPINIT RD
WELLPINIT WA
99040-0390
US

V. Phone/Fax

Practice location:
  • Phone: 509-258-4535
  • Fax:
Mailing address:
  • Phone: 509-258-4535
  • 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: DEBRA L ROSS
Title or Position: SPECIAL EDUCATION DIRECTOR
Credential:
Phone: 509-258-4535