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NPI Code Detail

MEDICARE: UPLAND UNIFIED SCHOOL DISTRICT

MEDICARE: UPLAND 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1093180515
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPLAND UNIFIED SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 390 N EUCLID AVE
Second Line :
City : UPLAND
State : CA
Zip : 91786-4763
Country : US
Telephone Number : 909-949-7804
Fax Number : 909-949-7809
Provider Business Practice Location Address
First Line : 601 5TH AVE
Second Line :
City : UPLAND
State : CA
Zip : 91786-4839
Country : US
Telephone Number : 909-949-6526
Fax Number : 909-949-7809
Authorized Official
Title or Position : ASSISTANT SUPERINTENDENT BUSINESS
Name : DONNIE SALAMANCA
Credential :
Telephone Number : 909-985-1864
Provider Enumeration Date : 12/09/2015
Last Update Date : 12/09/2015

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Directions to “UPLAND UNIFIED SCHOOL DISTRICT ” Practice Location

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