Provider Demographics
NPI:1700095866
Name:RIALTO UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:RIALTO UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-820-7785
Mailing Address - Street 1:182 E WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-3530
Mailing Address - Country:US
Mailing Address - Phone:909-820-7785
Mailing Address - Fax:909-820-7770
Practice Address - Street 1:182 E WALNUT AVE
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-3530
Practice Address - Country:US
Practice Address - Phone:909-820-7785
Practice Address - Fax:909-820-7770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
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
CASS3667850OtherLEA