Provider Demographics
NPI:1760505788
Name:COLTON JOINT UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:COLTON JOINT UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SUPT., BUSINESS SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRIDELICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-580-5000
Mailing Address - Street 1:1212 VALENCIA DR
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-1731
Mailing Address - Country:US
Mailing Address - Phone:909-580-5000
Mailing Address - Fax:909-422-0128
Practice Address - Street 1:10435 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:CA
Practice Address - Zip Code:92316-2403
Practice Address - Country:US
Practice Address - Phone:909-876-4281
Practice Address - Fax:909-876-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
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
CASS3667686Medicaid