Provider Demographics
NPI:1629280128
Name:SANTA CLARA COUNTY OFFICE OF EDUCATION
Entity Type:Organization
Organization Name:SANTA CLARA COUNTY OFFICE OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILCOX
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:408-453-6511
Mailing Address - Street 1:1290 RIDDER PARK DR
Mailing Address - Street 2:MC273
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2398
Mailing Address - Country:US
Mailing Address - Phone:408-453-6500
Mailing Address - Fax:408-453-6656
Practice Address - Street 1:1290 RIDDER PARK DR
Practice Address - Street 2:MC273
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2398
Practice Address - Country:US
Practice Address - Phone:408-453-6500
Practice Address - Fax:408-453-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
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
CASS4310439Medicaid