Provider Demographics
NPI:1346388527
Name:RIO DELL ELEMENTARY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:RIO DELL ELEMENTARY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:VARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-764-5694
Mailing Address - Street 1:95 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:RIO DELL
Mailing Address - State:CA
Mailing Address - Zip Code:95562-1323
Mailing Address - Country:US
Mailing Address - Phone:707-764-5694
Mailing Address - Fax:707-764-2656
Practice Address - Street 1:95 CENTER ST
Practice Address - Street 2:
Practice Address - City:RIO DELL
Practice Address - State:CA
Practice Address - Zip Code:95562-1323
Practice Address - Country:US
Practice Address - Phone:707-764-5694
Practice Address - Fax:707-764-2656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
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
CASS1263008Medicaid