Provider Demographics
NPI:1558409466
Name:CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-980-3930
Mailing Address - Street 1:10601 CHURCH ST STE 112
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-6894
Mailing Address - Country:US
Mailing Address - Phone:909-980-3930
Mailing Address - Fax:909-941-1732
Practice Address - Street 1:10601 CHURCH ST STE 112
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-6894
Practice Address - Country:US
Practice Address - Phone:909-980-3930
Practice Address - Fax:909-941-1732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
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
CASS3667645Medicaid