Provider Demographics
NPI:1902023179
Name:SOLANO COUNTY SUPERINTENDENT OF SCHOOLS
Entity Type:Organization
Organization Name:SOLANO COUNTY SUPERINTENDENT OF SCHOOLS
Other - Org Name:SOLANO COUNTY OFFICE OF EDUCATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, INTERNAL BUSINESS SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-399-4419
Mailing Address - Street 1:5100 BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-1658
Mailing Address - Country:US
Mailing Address - Phone:707-452-0295
Mailing Address - Fax:
Practice Address - Street 1:5100 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-1658
Practice Address - Country:US
Practice Address - Phone:707-452-0295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLANO COUNTY OFFICE OF EDUCATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-19
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS4810488Medicare ID - Type Unspecified