Healthcare Provider Details

I. General information

NPI: 1346054921
Provider Name (Legal Business Name): JUNCTION ELEMENTARY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 02/04/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98821 HIGHWAY 96
SOMES BAR CA
95568
US

IV. Provider business mailing address

HC 11 BOX 757
SOMES BAR CA
95568-9512
US

V. Phone/Fax

Practice location:
  • Phone: 530-469-3373
  • Fax: 530-469-3390
Mailing address:
  • Phone: 530-469-3373
  • Fax: 530-469-3390

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. MIKE MATHESON
Title or Position: DISTRICT SUPERINTENDENT
Credential:
Phone: 530-469-3373