Healthcare Provider Details

I. General information

NPI: 1952438368
Provider Name (Legal Business Name): VAIL UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13801 E BENSON HWY
VAIL AZ
85641-9074
US

IV. Provider business mailing address

13801 E BENSON HWY
VAIL AZ
85641-9074
US

V. Phone/Fax

Practice location:
  • Phone: 520-762-2052
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHERYL SILVAIN
Title or Position: MEDICAID BILLING SPECIALIST
Credential:
Phone: 520-762-2052