Healthcare Provider Details

I. General information

NPI: 1033541511
Provider Name (Legal Business Name): CAVE CREEK UNIFIED SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33016 N 60TH ST
SCOTTSDALE AZ
85266-5245
US

IV. Provider business mailing address

PO BOX 426
CAVE CREEK AZ
85327-0426
US

V. Phone/Fax

Practice location:
  • Phone: 480-575-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License NumberSLP7904
License Number StateAZ

VIII. Authorized Official

Name: DEBRA BURDICK
Title or Position: SUPERINTENDENT
Credential:
Phone: 480-575-2000