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NPI Code Detail

MEDICARE: KIONA-BENTON CITY SCHOOL

MEDICARE: KIONA-BENTON CITY SCHOOL
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 : 1841385010
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIONA-BENTON CITY SCHOOL
Provider Business Mailing Address
First Line : 1105 DALE AVE
Second Line :
City : BENTON CITY
State : WA
Zip : 99320-8872
Country : US
Telephone Number : 509-588-2000
Fax Number : 509-588-5580
Provider Business Practice Location Address
First Line : 1105 DALE AVE
Second Line :
City : BENTON CITY
State : WA
Zip : 99320-8872
Country : US
Telephone Number : 509-588-2000
Fax Number : 509-588-5580
Authorized Official
Title or Position : SPECIAL EDUCATION DIRECTOR
Name : CRAIG BAILEY
Credential :
Telephone Number : 509-588-2021
Provider Enumeration Date : 10/04/2006
Last Update Date : 02/10/2025

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Directions to “KIONA-BENTON CITY SCHOOL ” Practice Location

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