1477749737 NPI number — MARANA UNIFIED SCHOOL DISTRICT NO. 6

Table of content: (NPI 1477749737)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477749737 NPI number — MARANA UNIFIED SCHOOL DISTRICT NO. 6

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARANA UNIFIED SCHOOL DISTRICT NO. 6
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MUSD SPECIAL EDUCATION
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477749737
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11279 W GRIER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARANA
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85653-9609
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-682-4782
Provider Business Mailing Address Fax Number:
520-682-4818

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11279 W GRIER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARANA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85653-9609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-682-4782
Provider Business Practice Location Address Fax Number:
520-682-4818
Provider Enumeration Date:
09/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
LOUISE
Authorized Official Middle Name:
Authorized Official Title or Position:
DSC RECORDS SPECIALIST
Authorized Official Telephone Number:
520-682-4782

Provider Taxonomy Codes

  • Taxonomy code: 251300000X , with the licence number:  3840533 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3840533 . This is a "ARIZONA DEP. OF EDUCATION" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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