OrganizationActive
Educational Support Services
NPI 1922445550 · Local Education Agency (LEA) · Medical Lake, WA
Provider details
- NPI number
- 1922445550
- Entity type
- Organization
- Primary specialty
- Local Education Agency (LEA)Agencies
- Organization subpart
- No
- Authorized official
- Mardee King, Compliance(509) 565-3145
Specialties & taxonomies
Agencies
Practice location
317 N Broad St
Box 128
Medical Lake, WA 99022-8763
Phone: (509) 565-3145
Fax: (509) 565-3149
Approximate (ZIP-level) locationGet directions
Mailing address
317 N Broad St
Medical Lake, WA 99022-8763
Other names (DBA / former)
- Doing business as
- Medical Lake School District
Registry dates
- Enumerated
- 2013-05-22
- Last updated
- 2013-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.