Provider Demographics
NPI:1689715831
Name:MERCED CITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MERCED CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH SERVICES COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLETH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, PHN
Authorized Official - Phone:209-564-2095
Mailing Address - Street 1:444 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-3723
Mailing Address - Country:US
Mailing Address - Phone:209-385-6647
Mailing Address - Fax:209-381-2835
Practice Address - Street 1:444 W 23RD ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-3723
Practice Address - Country:US
Practice Address - Phone:209-385-6647
Practice Address - Fax:209-381-2835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
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
CASS2465771Medicaid