Provider Demographics
NPI:1629298419
Name:CAMP VERDE UNIFIED SCHOOL DISTRICT #28
Entity Type:Organization
Organization Name:CAMP VERDE UNIFIED SCHOOL DISTRICT #28
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN HANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-567-8000
Mailing Address - Street 1:410 CAMP LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:CAMP VERDE
Mailing Address - State:AZ
Mailing Address - Zip Code:86322-7494
Mailing Address - Country:US
Mailing Address - Phone:928-567-8000
Mailing Address - Fax:928-567-8004
Practice Address - Street 1:410 CAMP LINCOLN RD
Practice Address - Street 2:
Practice Address - City:CAMP VERDE
Practice Address - State:AZ
Practice Address - Zip Code:86322-7494
Practice Address - Country:US
Practice Address - Phone:928-567-8000
Practice Address - Fax:928-567-8004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus