Provider Demographics
NPI:1457515397
Name:SELMA UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SELMA UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TEIXEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-898-6500
Mailing Address - Street 1:3036 THOMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:CA
Mailing Address - Zip Code:93662-2433
Mailing Address - Country:US
Mailing Address - Phone:559-898-6500
Mailing Address - Fax:559-896-7147
Practice Address - Street 1:3036 THOMPSON AVE
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:CA
Practice Address - Zip Code:93662-2433
Practice Address - Country:US
Practice Address - Phone:559-898-6500
Practice Address - Fax:559-896-7147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS1062430Medicaid