Provider Demographics
NPI:1902083132
Name:ALASKA GATEWAY SCHOOL DISTRICT REAA #16
Entity Type:Organization
Organization Name:ALASKA GATEWAY SCHOOL DISTRICT REAA #16
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGSD SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:POAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-883-5151
Mailing Address - Street 1:PO BOX 226
Mailing Address - Street 2:MILE 1313.5 ALASKA HIGHWAY
Mailing Address - City:TOK
Mailing Address - State:AK
Mailing Address - Zip Code:99780-0226
Mailing Address - Country:US
Mailing Address - Phone:907-883-5151
Mailing Address - Fax:907-883-5154
Practice Address - Street 1:1313.5 AK HWY
Practice Address - Street 2:
Practice Address - City:TOK
Practice Address - State:AK
Practice Address - Zip Code:99780
Practice Address - Country:US
Practice Address - Phone:907-883-5151
Practice Address - Fax:907-883-5154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)