MEDICARE: SOAP LAKE 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
1	251300000X	Local Education Agency (LEA)		WA

Other Identifiers

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

General Provider Information

NPI Number	:	1780774521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOAP LAKE SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	410 GINGKO STREET SOUTH
Second Line	:	PO BOX 158
City	:	SOAP LAKE
State	:	WA
Zip	:	98851
Country	:	US
Telephone Number	:	509-246-1323
Fax Number	:	509-246-0669

Provider Business Practice Location Address
First Line	:	410 GINGKO STREET SOUTH
Second Line	:
City	:	SOAP LAKE
State	:	WA
Zip	:	98851
Country	:	US
Telephone Number	:	509-246-1323
Fax Number	:	509-246-0669

Authorized Official
Title or Position	:	SPECIAL SERVICES DIRECTOR
Name	:	MRS. JUDI L JENSEN
Credential	:
Telephone Number	:	509-246-1822

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1871421362 — OLIVELEAF
Practice Location Address:

37 MAPLE ST 144
SOAP LAKE, WA
98851

Practice Phone: 509-361-4643
Practice Fax:

1730148958 — ELDON LESTER LEINWEBER PA-C
Practice Location Address:

22 WEST HIGHWAY 28
SOAP LAKE, WA
98851

Practice Phone: 509-888-9606
Practice Fax: 509-683-1135

1740205988 — PUBLIC HOSPITAL DISTRICT #4 OF GRANT COUNTY
Practice Location Address:

127 2ND AVE. SW
SOAP LAKE, WA
98851

Practice Phone: 509-246-1111
Practice Fax: 509-246-0371

1235201310 — MICHELLE R AGLIANO LMP
Practice Location Address:

37 HEMLOCK ST N # 683
SOAP LAKE, WA
98851-9108

Practice Phone: 509-594-0807
Practice Fax:

1295859130 — MISS MARY ANN MILLER LMP
Practice Location Address:

318 MAIN AVENUE EAST
SOAP LAKE, WA
98851

Practice Phone: 509-246-1660
Practice Fax: 509-246-1660

1750404364 — KATHI TRANTHAM
Practice Location Address:

318 MAIN AVE E
SOAP LAKE, WA
98851

Practice Phone: 509-246-1660
Practice Fax:

Directions to “SOAP LAKE SCHOOL DISTRICT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.