MEDICARE: ALBANY UNIFIED SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1053162487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBANY UNIFIED SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	1216 SOLANO AVE
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-1725
Country	:	US
Telephone Number	:	510-558-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1216 SOLANO AVE
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-1725
Country	:	US
Telephone Number	:	510-558-3600
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR OF STUDENT SERVI
Name	:	DEBORAH BRILL
Credential	:
Telephone Number	:	510-926-0410

Provider Enumeration Date	:	04/01/2024
Last Update Date	:	04/02/2024

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Directions to “ALBANY UNIFIED SCHOOL DISTRICT ” Practice Location

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