Healthcare Provider Details

I. General information

NPI: 1871868992
Provider Name (Legal Business Name): GILBERT UNIFIED SCHOOL DIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2012
Last Update Date: 03/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 W MONTEBELLO AVE
APACHE JUNCTION AZ
85120
US

IV. Provider business mailing address

1370 W 15TH AVE
APACHE JUNCTION AZ
85120
US

V. Phone/Fax

Practice location:
  • Phone: 480-982-3023
  • Fax:
Mailing address:
  • Phone: 480-982-3023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateAZ

VIII. Authorized Official

Name: MRS. CHRISTIR E CRECELIUS
Title or Position: HEALTH ASSIST
Credential:
Phone: 480-982-3023