Provider Demographics
NPI:1033252630
Name:MONO COUNTY OFFICE OF EDUCATION
Entity Type:Organization
Organization Name:MONO COUNTY OFFICE OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT OF STUDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-934-0031
Mailing Address - Street 1:PO BOX 477
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CA
Mailing Address - Zip Code:93517-0477
Mailing Address - Country:US
Mailing Address - Phone:760-934-0031
Mailing Address - Fax:760-934-1443
Practice Address - Street 1:37 EMIGRANT ST.
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CA
Practice Address - Zip Code:93517-0477
Practice Address - Country:US
Practice Address - Phone:760-934-0031
Practice Address - Fax:760-934-1443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS2610264Medicaid