Healthcare Provider Details

I. General information

NPI: 1255242194
Provider Name (Legal Business Name): TWO ROCK UNION SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 SPRING HILL RD
PETALUMA CA
94952-4634
US

IV. Provider business mailing address

5001 SPRING HILL RD
PETALUMA CA
94952-4634
US

V. Phone/Fax

Practice location:
  • Phone: 707-762-6617
  • Fax: 707-762-1923
Mailing address:
  • Phone: 707-762-6617
  • Fax: 707-762-1923

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: MR. JOSH WILSON
Title or Position: SUPERINTENDENT/PRINCIPAL
Credential:
Phone: 707-762-6617