Provider Demographics
NPI:1982773388
Name:DURHAM UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DURHAM UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-895-4675
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:CA
Mailing Address - Zip Code:95938-0300
Mailing Address - Country:US
Mailing Address - Phone:530-895-4675
Mailing Address - Fax:530-895-4692
Practice Address - Street 1:9420 PUTNEY DR.
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:CA
Practice Address - Zip Code:95938
Practice Address - Country:US
Practice Address - Phone:530-895-4675
Practice Address - Fax:530-895-4692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS0461432Medicaid