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NPI Code Detail

MEDICARE: GRANITE SCHOOL DISTRICT HARTVIGSEN

MEDICARE: GRANITE SCHOOL DISTRICT HARTVIGSEN
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)

General Provider Information

NPI Number : 1629149513
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRANITE SCHOOL DISTRICT HARTVIGSEN
Provider Business Mailing Address
First Line : 2500 S STATE ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-3110
Country : US
Telephone Number : 801-646-4522
Fax Number :
Provider Business Practice Location Address
First Line : 2500 S STATE ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-3110
Country : US
Telephone Number : 801-646-4522
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF SPECIAL EDUCATION
Name : DR. KATHRYN MCCARRIE
Credential :
Telephone Number : 801-646-4522
Provider Enumeration Date : 11/13/2006
Last Update Date : 08/22/2020

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Directions to “GRANITE SCHOOL DISTRICT HARTVIGSEN ” Practice Location

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