Provider Demographics
NPI:1790596104
Name:ALDER GROVE CHARTER SCHOOL
Entity type:Organization
Organization Name:ALDER GROVE CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLLARHIDE
Authorized Official - Suffix:
Authorized Official - Credentials:PPS, LEP
Authorized Official - Phone:707-572-0099
Mailing Address - Street 1:714 F ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-1036
Mailing Address - Country:US
Mailing Address - Phone:707-268-0854
Mailing Address - Fax:707-268-0813
Practice Address - Street 1:714 F ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-1036
Practice Address - Country:US
Practice Address - Phone:707-268-0854
Practice Address - Fax:707-268-0813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)