Provider Demographics
NPI:1083366702
Name:PLUMAS LAKE ELEMENTARY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PLUMAS LAKE ELEMENTARY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-742-4428
Mailing Address - Street 1:2743 PLUMAS SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:PLUMAS LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:95961-8827
Mailing Address - Country:US
Mailing Address - Phone:530-743-4428
Mailing Address - Fax:530-743-1408
Practice Address - Street 1:2743 PLUMAS SCHOOL RD
Practice Address - Street 2:
Practice Address - City:PLUMAS LAKE
Practice Address - State:CA
Practice Address - Zip Code:95961-8827
Practice Address - Country:US
Practice Address - Phone:530-743-4428
Practice Address - Fax:530-743-1408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)