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NPI Code Detail

MEDICARE: RINCON VALLEY UNION SCHOOL DISTRICT

MEDICARE: RINCON VALLEY UNION 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)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356559678
Entity Type Code : Organization
Provider Name (Legal Business Name) : RINCON VALLEY UNION SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 1000 YULUPA AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-7020
Country : US
Telephone Number : 707-542-7375
Fax Number :
Provider Business Practice Location Address
First Line : 1000 YULUPA AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-7020
Country : US
Telephone Number : 707-542-7375
Fax Number :
Authorized Official
Title or Position : SUPERINTENDENT
Name : MS. DIANE JOYCE MORESI
Credential : M.A.
Telephone Number : 707-542-7375
Provider Enumeration Date : 05/18/2007
Last Update Date : 08/22/2020

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Directions to “RINCON VALLEY UNION SCHOOL DISTRICT ” Practice Location

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