Provider Demographics
NPI:1487748075
Name:COUNTY OF COOS MYRTLE POINT SCHOOL DISTRICT 41
Entity type:Organization
Organization Name:COUNTY OF COOS MYRTLE POINT SCHOOL DISTRICT 41
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-572-2811
Mailing Address - Street 1:413 C. STREET
Mailing Address - Street 2:
Mailing Address - City:MYRTLE POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97458
Mailing Address - Country:US
Mailing Address - Phone:541-572-2811
Mailing Address - Fax:541-572-5401
Practice Address - Street 1:413 C. STREET
Practice Address - Street 2:
Practice Address - City:MYRTLE POINT
Practice Address - State:OR
Practice Address - Zip Code:97458
Practice Address - Country:US
Practice Address - Phone:541-572-2811
Practice Address - Fax:541-572-5401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR033642Medicaid