Provider Demographics
NPI:1902990955
Name:GREATER ALBANY PUBLIC SCHOOL DISTRICT 8J
Entity Type:Organization
Organization Name:GREATER ALBANY PUBLIC SCHOOL DISTRICT 8J
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUSS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-967-4501
Mailing Address - Street 1:718 7TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-2320
Mailing Address - Country:US
Mailing Address - Phone:541-967-4501
Mailing Address - Fax:541-967-4587
Practice Address - Street 1:718 7TH AVE SW
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-2320
Practice Address - Country:US
Practice Address - Phone:541-967-4501
Practice Address - Fax:541-967-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR048244Medicaid