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NPI Code Detail

MEDICARE: MCCABE UNION ELEMENTARY SCHOOL DISTRICT

MEDICARE: MCCABE UNION ELEMENTARY SCHOOL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1043912090
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCCABE UNION ELEMENTARY SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 701 W MCCABE RD
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-9507
Country : US
Telephone Number : 760-335-5200
Fax Number :
Provider Business Practice Location Address
First Line : 701 W MCCABE RD
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-9507
Country : US
Telephone Number : 760-335-5200
Fax Number :
Authorized Official
Title or Position : ASSISTANT SUPERINTENDENT
Name : MR. LUCIO PADILLA JR.
Credential :
Telephone Number : 760-335-5207
Provider Enumeration Date : 03/21/2023
Last Update Date : 03/21/2023

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Directions to “MCCABE UNION ELEMENTARY SCHOOL DISTRICT ” Practice Location

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