Provider Demographics
NPI:1962566992
Name:CENTRAL LINN SCHOOL
Entity type:Organization
Organization Name:CENTRAL LINN SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN CLEAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-369-2813
Mailing Address - Street 1:P.O. BOX 200
Mailing Address - Street 2:
Mailing Address - City:HALSEY
Mailing Address - State:OR
Mailing Address - Zip Code:97348
Mailing Address - Country:US
Mailing Address - Phone:541-369-2813
Mailing Address - Fax:541-369-3437
Practice Address - Street 1:331 E BLAKELY AVE
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:OR
Practice Address - Zip Code:97327-2303
Practice Address - Country:US
Practice Address - Phone:541-466-3105
Practice Address - Fax:541-466-3180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR121165Medicaid