Organization
CORDOVA SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX RUSSIN (SUPERINTENDENT)
(907) 424-3265
Entity
Organization
Contact information
Practice address
275 SECOND AVENUE, CORDOVA, AK 99574-1330
(907) 424-3236
(907) 424-3117
Mailing address
PO BOX 1330, CORDOVA, AK 99574-1330
(907) 424-3265
(844) 413-7175
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
103TS0200X
School Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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