Provider Demographics
NPI:1861610776
Name:NORTHWEST ARCTIC BOROUGH SCHOOL DISTRICT
Entity type:Organization
Organization Name:NORTHWEST ARCTIC BOROUGH SCHOOL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DED
Authorized Official - Phone:907-442-1800
Mailing Address - Street 1:PO BOX 51
Mailing Address - Street 2:
Mailing Address - City:KOTZEBUE
Mailing Address - State:AK
Mailing Address - Zip Code:99752-0051
Mailing Address - Country:US
Mailing Address - Phone:907-442-1800
Mailing Address - Fax:907-442-2196
Practice Address - Street 1:744 THIRD STREET
Practice Address - Street 2:
Practice Address - City:KOTZEBUE
Practice Address - State:AK
Practice Address - Zip Code:99752-0051
Practice Address - Country:US
Practice Address - Phone:907-442-1800
Practice Address - Fax:907-442-2196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management