Provider Demographics
NPI:1669512059
Name:REDLANDS UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:REDLANDS UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FISCAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SHERRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:AVITABILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-307-5300
Mailing Address - Street 1:20 W LUGONIA AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-2234
Mailing Address - Country:US
Mailing Address - Phone:909-307-5300
Mailing Address - Fax:909-307-5344
Practice Address - Street 1:20 W LUGONIA AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-2234
Practice Address - Country:US
Practice Address - Phone:909-307-5300
Practice Address - Fax:909-307-5344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
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
CASS3667843Medicaid