Healthcare Provider Details

I. General information

NPI: 1104782705
Provider Name (Legal Business Name): LATROBE SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 SOUTH SHINGLE RD
SHINGLE SPRINGS CA
95682
US

IV. Provider business mailing address

7900 SOUTH SHINGLE RD
SHINGLE SPRINGS CA
95682
US

V. Phone/Fax

Practice location:
  • Phone: 530-677-0260
  • Fax:
Mailing address:
  • Phone: 530-677-0260
  • 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: MR. DAVE SCOGGINS
Title or Position: SUPERINTENDENT/PRINCIPAL
Credential:
Phone: 530-677-0260