Healthcare Provider Details

I. General information

NPI: 1710898184
Provider Name (Legal Business Name): OAK GROVE UNION ELEMENTARY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5299 HALL RD
SANTA ROSA CA
95401-5566
US

IV. Provider business mailing address

5299 HALL RD
SANTA ROSA CA
95401-5566
US

V. Phone/Fax

Practice location:
  • Phone: 707-545-0171
  • 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: AMBER STRINGFELLOW
Title or Position: SUPERINTENDENT
Credential:
Phone: 707-545-0171