MEDICARE: WRIGHT ELEMENTARY 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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SS4971035	OTHER	CA	LEA

General Provider Information

NPI Number	:	1174663975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WRIGHT ELEMENTARY SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	4385 PRICE AVE
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95407-6550
Country	:	US
Telephone Number	:	707-542-0550
Fax Number	:

Provider Business Practice Location Address
First Line	:	4385 PRICE AVE
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95407-6550
Country	:	US
Telephone Number	:	707-542-0550
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MRS. ALISA REID
Credential	:
Telephone Number	:	707-542-0550

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	12/11/2025

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Directions to “WRIGHT ELEMENTARY SCHOOL DISTRICT ” Practice Location

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