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Active NPI 1104916311 Organization (Entity Type 2)

Intermountain Esd

Local Education Agency (LEA) • Pendleton, OR

About Intermountain Esd NPI 1104916311 Summary

Intermountain Esd is a verified healthcare organization specializing in Local Education Agency (LEA) operating in Pendleton, OR. Located at 2001 SW NYE AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1104916311.

Administrative operations and authorized compliance are overseen by Mark Mulvihill (Superintendent).

Facility Location & Contact Primary Location

Facility Address

2001 Sw Nye Ave

Pendleton, OR 978014416

Telephone 5412766616

Fax 5412764252

Authorized Official Information

Authorized Contact Name

DR. Mark Mulvihill

Title / Role

Superintendent

Official Telephone

5419663101

Facility Classifications & Specialties

Local Education Agency (LEA) Primary Taxonomy

NUCC Taxonomy Code: 251300000X

The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active June 30, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2011

Registered at 2001 SW NYE AVE, PENDLETON, OR 978014416 (Tel: 5412766616)

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Updated Business Mailing Address June 30, 2011

Registered at 2001 SW NYE AVE, PENDLETON, OR 978014416 (Tel: 5412766616)

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Organization / Clinic Name Updated June 30, 2011

Operating as INTERMOUNTAIN ESD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2011

Local Education Agency (LEA)

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Initial NPI Registration & Enumeration October 16, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1104916311

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: October 16, 2006

Last Update: June 30, 2011

Update or Correct Listing

Mailing Address

2001 Sw Nye Ave

Pendleton, OR 978014416

Phone: 5412766616

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.