Provider Demographics
NPI:1932241114
Name:ACALANES UNION HIGH SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ACALANES UNION HIGH SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-942-9602
Mailing Address - Street 1:2520 STANWELL DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-4840
Mailing Address - Country:US
Mailing Address - Phone:925-827-0949
Mailing Address - Fax:925-825-1124
Practice Address - Street 1:2520 STANWELL DR
Practice Address - Street 2:SUITE 270
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-4840
Practice Address - Country:US
Practice Address - Phone:925-827-0949
Practice Address - Fax:925-825-1124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS0761630Medicaid