Provider Demographics
NPI:1174037550
Name:NORTH CENTRAL EDUCATIONAL SERVICE DISTRICT
Entity type:Organization
Organization Name:NORTH CENTRAL EDUCATIONAL SERVICE DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT FISCAL DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:SCHOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-667-3637
Mailing Address - Street 1:430 OLDS STATION RD
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-5975
Mailing Address - Country:US
Mailing Address - Phone:509-665-2610
Mailing Address - Fax:509-662-9027
Practice Address - Street 1:430 OLDS STATION RD
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-5975
Practice Address - Country:US
Practice Address - Phone:509-665-2610
Practice Address - Fax:509-662-9027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy