Healthcare Provider Details

I. General information

NPI: 1982773388
Provider Name (Legal Business Name): DURHAM UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 PUTNEY DR.
DURHAM CA
95938
US

IV. Provider business mailing address

PO BOX 300
DURHAM CA
95938-0300
US

V. Phone/Fax

Practice location:
  • Phone: 530-895-4675
  • Fax: 530-895-4692
Mailing address:
  • Phone: 530-895-4675
  • Fax: 530-895-4692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHRISTY PATTERSON
Title or Position: BUSINESS MANAGER
Credential:
Phone: 530-895-4675