Black Oak Mine Unified School District
Organization Active NPI Case Management Agency · Georgetown, CA
NPI 1043181563 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1043181563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- BLACK OAK MINE UNIFIED SCHOOL DISTRICT
- Practice address
- 6530 Wentworth Springs Rd
Georgetown, CA 95634-9701 - Phone
- (530) 333-8320
- NPI assigned
- Sep 16, 2025
- Organization subpart
- No
Authorized official
- Name
- Clorisa Lynn Blish, CWCII WELLNESS COACH
- Title
- Wellness Coach
- Phone
- (530) 903-9188
Practitioners 2
National Provider Directory
Locations
6530 Wentworth Springs Rd
Georgetown, CA 95634
Phone (530) 333-8320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
6530 Wentworth Springs Rd
Georgetown, CA 95634-9701
Mailing address
9080 Country Rd
Georgetown, CA 95634-9732
Phone (530) 903-9188
Other names
- Bridget Isham
Other providers in Georgetown, CA
- Black Oak Mine Unified School District
- Debra Boardman-Cheevers
- James Carley
- Rebecca Sue Clark
- Julie Crow-Petersen
All providers in Georgetown, CA · Case Management Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.