Healthcare Provider Details

I. General information

NPI: 1356484000
Provider Name (Legal Business Name): APACHE JUNCTION UNIFIED SCHOOL DISTRICT #43
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 W SOUTHERN AVE SUITE #6
APACHE JUNCTION AZ
85220-7456
US

IV. Provider business mailing address

1575 W SOUTHERN AVE SUITE #6
APACHE JUNCTION AZ
85220-7456
US

V. Phone/Fax

Practice location:
  • Phone: 480-982-1110
  • Fax: 480-983-6497
Mailing address:
  • Phone: 480-982-1110
  • Fax: 480-983-6497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MRS. PEGGY A MEJIA
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential:
Phone: 480-982-1110