Provider Demographics
NPI:1710136551
Name:CLOVERDALE UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CLOVERDALE UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:EISBRENNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-894-1920
Mailing Address - Street 1:97 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:CLOVERDALE
Mailing Address - State:CA
Mailing Address - Zip Code:95425-3244
Mailing Address - Country:US
Mailing Address - Phone:707-894-1920
Mailing Address - Fax:
Practice Address - Street 1:97 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:CLOVERDALE
Practice Address - State:CA
Practice Address - Zip Code:95425-3244
Practice Address - Country:US
Practice Address - Phone:707-894-1920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)