=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407913775
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TULARE JOINT UNION HIGH SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/03/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 426 N BLACKSTONE ST
-----------------------------------------------------
City | TULARE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93274-4449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-688-2021
-----------------------------------------------------
Fax | 559-687-7317
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 426 N BLACKSTONE ST
-----------------------------------------------------
City | TULARE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93274-4449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-688-2021
-----------------------------------------------------
Fax | 559-687-7317
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BUSINESS MANAGER
-----------------------------------------------------
Name | MRS. VIVIAN HAMILTON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 559-688-2021
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------