Healthcare Provider Details

I. General information

NPI: 1154410280
Provider Name (Legal Business Name): CLOVIS UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7171 N SUGARPINE AVE
PINEDALE CA
93650-1223
US

IV. Provider business mailing address

1680 DAVID E COOK WAY
CLOVIS CA
93611-0599
US

V. Phone/Fax

Practice location:
  • Phone: 559-327-7793
  • Fax: 559-327-7794
Mailing address:
  • Phone: 559-327-9466
  • Fax: 559-327-9474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number262580
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number234331
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM C. MCGUIRE
Title or Position: ASSOCIATE SUPERINTENDENT
Credential:
Phone: 559-327-9110