MAMMOTH-SAN MANUEL USD #8 (NPI# 1902936685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902936685 |
Entity Type | Organization |
Organization Name | MAMMOTH-SAN MANUEL USD #8 |
Practice Address |
711 Mcnab Parkway & Main San Manuel AZ 85631 |
Mailing Address |
Po Box 406 712 Mc Nab Parkway & Main San Manuel AZ 85631-0406 |
Practice Telephone | 5203852337 |
Practice Fax Number | 5203852621 |
Mailing Telephone | 5203852337 |
Mailing Fax Number | 5203852621 |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. MARY KYLE (SPECIAL ED DIRECTOR) |
Authorized Official Telephone | 5203852337 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251300000X | Local Education Agency (LEA) | ========= | AZ | Agencies |
Street Address |
711 MCNAB PARKWAY & MAIN |
City | SAN MANUEL |
State | AZ |
Zip Code | 85631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063632347 | Kent Shelton | Local Education Agency (LEA) | 711 Mcnab Parkway and Main, San Manuel, AZ 85631 | 2007-04-27 |
1447381264 | Mark Christopher Wiseley | Psychologist | 711 Mcnab Parkway, San Manuel, AZ 85631 | 2007-03-07 |
1851451694 | Ruth Seppala | Nurse Practitioner | 23 S Mcnab Pkwy, San Manuel, AZ 85631 | 2006-12-11 |
1134127715 | Barbara Turton | Physical Therapist | 23 S Mcnab Parkway, San Manuel, AZ 85631 | 2005-07-08 |
1972506574 | Robert Brower | Family Medicine | 23 Mcnab Parkway, San Manuel, AZ 85631 | 2005-05-27 |
1467807131 | Sharan Wieberdink | Nurse Practitioner | 23 S Mcnab Pkwy, San Manuel, AZ 85631 | 2016-04-29 |
1730548637 | Lacy Berkshire | Licensed Practical Nurse | 2240 Winrow Rd, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85631 | 2016-02-19 |
1659651172 | Seth Jacob Tate | Nurse Practitioner | 23 S Mcnab Pkwy, San Manuel, AZ 85631 | 2011-08-29 |
1821328030 | Desert Palms Physical Therapy- Catalina PC | Physical Therapist | 23 Mcnab Parkway, San Manuel, AZ 85631 | 2010-01-11 |
1497949226 | Boru Nale | Family Medicine | 23 S Mcnab Pkwy, San Manuel, AZ 85631 | 2007-09-05 |
Find all providers in zip 85631 |
Taxonomy Code | 251300000X |
Grouping | Agencies |
Classification | Local Education Agency (LEA) |
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063632347 | Kent Shelton | Local Education Agency (LEA) | 711 Mcnab Parkway and Main, San Manuel, AZ 85631 | 2007-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215586748 | Victory Collegiate Academy Corp. | Local Education Agency (LEA) | 3535 N 63rd Ave, Phoenix, AZ 85033-4503 | 2019-09-07 |
1447815493 | Prescott Valley Charter School | Local Education Agency (LEA) | 9500 E Lorna Ln, Prescott Valley, AZ 86314-2324 | 2019-05-06 |
1598329195 | Cambridge Academy East, Inc. | Local Education Agency (LEA) | 20365 E Ocotillo Rd, Queen Creek, AZ 85142-9584 | 2019-04-29 |
1396308854 | Fit Kids, Inc | Local Education Agency (LEA) | 250 S. Mcqueen Road, Chandler, AZ 85225 | 2019-04-19 |
1619530375 | Fit Kids, Inc. | Local Education Agency (LEA) | 1846 E Bella Vista Rd, San Tan Valley, AZ 85143-6387 | 2019-04-18 |
1174186845 | Fit Kids, Inc. | Local Education Agency (LEA) | 7900 S Jesse Owens Pkwy, Phoenix, AZ 85042-6523 | 2019-04-18 |
1982164166 | South Phoenix Prep and Arts Academy | Local Education Agency (LEA) | 7450 S 40th St, Phoenix, AZ 85042-6351 | 2019-03-22 |
1922568195 | Cambridge Academy East, Inc. | Local Education Agency (LEA) | 9412 E Brown Rd, Mesa, AZ 85207-4338 | 2019-03-22 |
1841750023 | Vector Prep and Arts Academy | Local Education Agency (LEA) | 2020 N Arizona Ave, Chandler, AZ 85225-3496 | 2019-03-22 |
1225595010 | Pioneer Preparatory Academy | Local Education Agency (LEA) | 6510 W Clarendon Ave, Phoenix, AZ 85033-4001 | 2019-02-27 |
Find all providers with the same taxonomy |
City | SAN MANUEL |
Zip Code | 85631 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.