=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871781971
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOMERTON SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/15/2007
-----------------------------------------------------
Last Update Date | 10/15/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 215 NORTH CARLISLE AVENUE
-----------------------------------------------------
City | SOMERTON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85350
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 928-341-6041
-----------------------------------------------------
Fax | 928-341-6099
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 3200
-----------------------------------------------------
City | SOMERTON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85350-3200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 928-341-6041
-----------------------------------------------------
Fax | 928-341-6099
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SP ED DIRECTOR
-----------------------------------------------------
Name | MS. JODY ATTAWAY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 928-341-6041
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------