Healthcare Provider Details

I. General information

NPI: 1629298419
Provider Name (Legal Business Name): CAMP VERDE UNIFIED SCHOOL DISTRICT #28
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 CAMP LINCOLN RD
CAMP VERDE AZ
86322-7494
US

IV. Provider business mailing address

410 CAMP LINCOLN RD
CAMP VERDE AZ
86322-7494
US

V. Phone/Fax

Practice location:
  • Phone: 928-567-8000
  • Fax: 928-567-8004
Mailing address:
  • Phone: 928-567-8000
  • Fax: 928-567-8004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number StateAZ

VIII. Authorized Official

Name: STEVEN HICKS
Title or Position: SUPERINTENDENT
Credential:
Phone: 928-567-8234