MEDICARE: SUPERINTENDENT OF SCHOOL NAPA COUNTY

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
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6549028	OTHER	CA	MEDI-CAL PROVIDER ID #
2	SS2810280	OTHER	CA	MEDI-CAL PROVIDER #

General Provider Information

NPI Number	:	1063638690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPERINTENDENT OF SCHOOL NAPA COUNTY

Provider Business Mailing Address
First Line	:	2121 IMOLA AVE
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94559-3625
Country	:	US
Telephone Number	:	707-253-6819
Fax Number	:	707-253-6970

Provider Business Practice Location Address
First Line	:	2121 IMOLA AVE
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94559-3625
Country	:	US
Telephone Number	:	707-253-6819
Fax Number	:	707-253-6970

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MRS. BARBARA GAIL NEMKO
Credential	:	PH.D.
Telephone Number	:	707-253-6819

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/29/2008

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Directions to “SUPERINTENDENT OF SCHOOL NAPA COUNTY ” Practice Location

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