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Mattole Unified School District

Organization Active NPI Local Education Agency (LEA) · Eureka, CA

NPI 1295920478 · NPPES record last updated Sep 11, 2007

Key facts

NPI
1295920478
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
MATTOLE UNIFIED SCHOOL DISTRICT
Practice address
2120 Campton Rd
Suite H
Eureka, CA 95503-8209
Phone
(707) 476-8406
Fax
(707) 476-8069
NPI assigned
Sep 11, 2007
Organization subpart
No

Authorized official

Name
Richard M Graey
Title
Superintendent
Phone
(707) 445-2660

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Arcata School District (14 organizations share this tax ID)

Locations

2120 Campton Rd
Ste H
Eureka, CA 95503
Phone (707) 445-2660

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X CA Yes

Addresses

Primary practice location

2120 Campton Rd
Suite H
Eureka, CA 95503-8209

Mailing address

29289 Chambers Rd.
Petrolia, CA 95558
Phone (707) 629-3311

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2007.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1295920478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29289 CHAMBERS RD.",
            "city": "PETROLIA",
            "state": "CA",
            "postal_code": "95558",
            "telephone_number": "707-629-3311",
            "fax_number": "707-629-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 CAMPTON RD",
            "address_2": "SUITE H",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955038209",
            "telephone_number": "707-476-8406",
            "fax_number": "707-476-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTOLE UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "GRAEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "707-445-2660"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

All providers in Eureka, CA · Local Education Agency (LEA) in California

Sources for this page

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