Provider Demographics
NPI:1669713608
Name:WARNER UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:WARNER UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF BUSINESS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-782-3517
Mailing Address - Street 1:30951 HWY 79
Mailing Address - Street 2:
Mailing Address - City:WARNER SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92086-0008
Mailing Address - Country:US
Mailing Address - Phone:760-782-3517
Mailing Address - Fax:760-782-9117
Practice Address - Street 1:30951 HWY 79
Practice Address - Street 2:
Practice Address - City:WARNER SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92086-0008
Practice Address - Country:US
Practice Address - Phone:760-782-3517
Practice Address - Fax:760-782-9117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS3775416Medicaid