Provider Demographics
NPI:1043317258
Name:TURLOCK USD
Entity Type:Organization
Organization Name:TURLOCK USD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:GIL
Authorized Official - Middle Name:L
Authorized Official - Last Name:OGDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-667-0887
Mailing Address - Street 1:1574 E CANAL DR
Mailing Address - Street 2:PO BOX 819013
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-4161
Mailing Address - Country:US
Mailing Address - Phone:209-667-0887
Mailing Address - Fax:209-667-6441
Practice Address - Street 1:1574 E CANAL DR
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-4161
Practice Address - Country:US
Practice Address - Phone:209-667-0887
Practice Address - Fax:209-667-6441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS5075739Medicaid