1801075916 NPI number — COUNTY OF MARICOPA LITTLETON SCHOOL DISTRICT 65

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801075916 NPI number — COUNTY OF MARICOPA LITTLETON SCHOOL DISTRICT 65

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF MARICOPA LITTLETON SCHOOL DISTRICT 65
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:
Provider Other Organization Name Type Code:
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:
1801075916
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/18/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 280
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CASHION
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85329
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
623-478-5602
Provider Business Mailing Address Fax Number:
623-478-5621

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1600 S 107TH AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AVONDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-478-5613
Provider Business Practice Location Address Fax Number:
623-478-5645
Provider Enumeration Date:
10/25/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KAUFFMANN
Authorized Official First Name:
TINA
Authorized Official Middle Name:
MICHELLE
Authorized Official Title or Position:
DIRECTOR OF STUDENT SUPPORT
Authorized Official Telephone Number:
623-478-5613

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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