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NPI Code Detail

MEDICARE: SULTAN SCHOOL DISTRICT # 311

MEDICARE: SULTAN SCHOOL DISTRICT # 311
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558308544
Entity Type Code : Organization
Provider Name (Legal Business Name) : SULTAN SCHOOL DISTRICT # 311
Provider Business Mailing Address
First Line : 514 4TH ST
Second Line :
City : SULTAN
State : WA
Zip : 98294-9474
Country : US
Telephone Number : 360-793-9800
Fax Number : 360-793-9890
Provider Business Practice Location Address
First Line : 514 4TH ST
Second Line :
City : SULTAN
State : WA
Zip : 98294-9474
Country : US
Telephone Number : 360-793-9800
Fax Number : 360-793-9890
Authorized Official
Title or Position : SUPERINTENDENT
Name : MR. ALLAN ROBINSON
Credential :
Telephone Number : 360-793-9801
Provider Enumeration Date : 05/31/2006
Last Update Date : 11/15/2010

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Directions to “SULTAN SCHOOL DISTRICT # 311 ” Practice Location

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