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NPI Code Detail

MEDICARE: DIERINGER SCHOOL DISTRICT

MEDICARE: DIERINGER SCHOOL DISTRICT
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 : 1760419030
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIERINGER SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 1320 178TH AVE E
Second Line :
City : LAKE TAPPS
State : WA
Zip : 98391-6411
Country : US
Telephone Number : 253-862-2537
Fax Number : 253-862-8472
Provider Business Practice Location Address
First Line : 1320 178TH AVE E
Second Line :
City : LAKE TAPPS
State : WA
Zip : 98391-6411
Country : US
Telephone Number : 253-862-2537
Fax Number : 253-862-8472
Authorized Official
Title or Position : DIRECTOR OF STUDENT SUPPORT SERVICE
Name : MR. FREDERICK A STREECK
Credential :
Telephone Number : 253-862-2537
Provider Enumeration Date : 06/26/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1174875272 — LINDA M BOWMAN
Practice Location Address:
1320 178TH AVE E
LAKE TAPPS, WA
98391-6411
Practice Phone: 253-862-6600
Practice Fax:
1639421738 — JOAN OTTINGER OTR/L
Practice Location Address:
1320 178TH AVE E
LAKE TAPPS, WA
98391-6411
Practice Phone: 253-862-2537
Practice Fax:
1649523481 — MRS. BETHANY B SILLANPAA SLP
Practice Location Address:
1320 178TH AVE E
LAKE TAPPS, WA
98391-6411
Practice Phone: 253-862-2537
Practice Fax: 253-862-8472
1902159585 — MICHELLE DAWN SMITH
Practice Location Address:
1320 178TH AVE E
LAKE TAPPS, WA
98391-6411
Practice Phone: 253-862-2537
Practice Fax:
1275877342 — MRS. TERRY WOODALL R.N.
Practice Location Address:
1320 178TH AVE E
LAKE TAPPS, WA
98391-6411
Practice Phone: 253-862-6600
Practice Fax: 253-862-3176
1639620461 — JANAE NEUMEIER
Practice Location Address:
1320 178TH AVE E
LAKE TAPPS, WA
98391-6411
Practice Phone: 253-862-2537
Practice Fax: 253-862-8472

Directions to “DIERINGER SCHOOL DISTRICT ” Practice Location

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