Provider Demographics
NPI:1346672169
Name:MIDDLETOWN ELEMENTARY SCHOOL
Entity Type:Organization
Organization Name:MIDDLETOWN ELEMENTARY SCHOOL
Other - Org Name:MIDDLETOWN UNIFIED
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KORBY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:707-987-4100
Mailing Address - Street 1:20932 BIG CANYON RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CA
Mailing Address - Zip Code:95461-7721
Mailing Address - Country:US
Mailing Address - Phone:707-987-4100
Mailing Address - Fax:707-987-4105
Practice Address - Street 1:20932 BIG CANYON RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CA
Practice Address - Zip Code:95461-7721
Practice Address - Country:US
Practice Address - Phone:707-928-4100
Practice Address - Fax:707-987-4105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)