MEDICARE: REDDING 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
1	251300000X	Local Education Agency (LEA)	SS4570110	CA

General Provider Information

NPI Number	:	1407035728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDDING SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	5885 E BONNYVIEW RD
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-4535
Country	:	US
Telephone Number	:	530-225-0011
Fax Number	:	530-225-0015

Provider Business Practice Location Address
First Line	:	5885 E BONNYVIEW RD
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-4535
Country	:	US
Telephone Number	:	530-225-0011
Fax Number	:	530-225-0015

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DR. DIANE KEMPLEY
Credential	:
Telephone Number	:	530-225-0011

Provider Enumeration Date	:	11/02/2007
Last Update Date	:	11/02/2007

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Directions to “REDDING SCHOOL DISTRICT ” Practice Location

Language	Start Address	Practice Location

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