Provider Demographics
NPI:1902936685
Name:MAMMOTH-SAN MANUEL USD #8
Entity Type:Organization
Organization Name:MAMMOTH-SAN MANUEL USD #8
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-385-2337
Mailing Address - Street 1:PO BOX 406
Mailing Address - Street 2:712 MC NAB PARKWAY & MAIN
Mailing Address - City:SAN MANUEL
Mailing Address - State:AZ
Mailing Address - Zip Code:85631-0406
Mailing Address - Country:US
Mailing Address - Phone:520-385-2337
Mailing Address - Fax:520-385-2621
Practice Address - Street 1:711 MCNAB PARKWAY & MAIN
Practice Address - Street 2:
Practice Address - City:SAN MANUEL
Practice Address - State:AZ
Practice Address - Zip Code:85631
Practice Address - Country:US
Practice Address - Phone:520-385-2337
Practice Address - Fax:520-385-2621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)