Provider Demographics
NPI:1801936364
Name:CUDDEBACK UNION ELEM SCHOOL DISTRICT
Entity type:Organization
Organization Name:CUDDEBACK UNION ELEM SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-768-3372
Mailing Address - Street 1:300 WILDER RD.
Mailing Address - Street 2:
Mailing Address - City:CARLOTTA
Mailing Address - State:CA
Mailing Address - Zip Code:95528
Mailing Address - Country:US
Mailing Address - Phone:707-768-3372
Mailing Address - Fax:707-768-3211
Practice Address - Street 1:300 WILDER RD.
Practice Address - Street 2:
Practice Address - City:CARLOTTA
Practice Address - State:CA
Practice Address - Zip Code:95528
Practice Address - Country:US
Practice Address - Phone:707-768-3372
Practice Address - Fax:707-768-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)