Provider Demographics
NPI:1619190071
Name:NEVADA JT. UNION HIGH SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NEVADA JT. UNION HIGH SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:H
Authorized Official - Last Name:DEETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-273-3351
Mailing Address - Street 1:11645 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-5024
Mailing Address - Country:US
Mailing Address - Phone:530-273-3351
Mailing Address - Fax:530-273-3372
Practice Address - Street 1:11645 RIDGE RD
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5024
Practice Address - Country:US
Practice Address - Phone:530-273-3351
Practice Address - Fax:530-273-3372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
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
CASS2966357Medicaid