Provider Demographics
NPI:1831423763
Name:WRIGHT ELEMENTARY DISTRICT
Entity type:Organization
Organization Name:WRIGHT ELEMENTARY DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-542-0550
Mailing Address - Street 1:4385 PRICE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95407-6550
Mailing Address - Country:US
Mailing Address - Phone:707-542-0550
Mailing Address - Fax:707-577-7962
Practice Address - Street 1:4385 PRICE AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95407-6550
Practice Address - Country:US
Practice Address - Phone:707-542-0550
Practice Address - Fax:707-577-7962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS4971035Medicaid