Mesa Unified School District No. 4

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MESA UNIFIED SCHOOL DISTRICT NO. 4

Practice address

1025 N Country Club Dr
Mesa, AZ 85201-3302

Phone

(480) 472-0685

Fax

(480) 472-0705

NPI assigned

Feb 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Alberta Longacre

Title

Director Medicaid Monitoring

Phone

(480) 472-0685

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mesa Public Schools2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mesa Public Schools

  • Speech-Language Pathologist
  • Mesa, AZ
  • NPI 1992869580
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346388287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013302",
            "telephone_number": "480-472-0685",
            "fax_number": "480-472-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013302",
            "telephone_number": "480-472-0685",
            "fax_number": "480-472-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA UNIFIED SCHOOL DISTRICT NO. 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONGACRE",
        "authorized_official_first_name": "ALBERTA",
        "authorized_official_title_or_position": "DIRECTOR MEDICAID MONITORING",
        "authorized_official_telephone_number": "480-472-0685",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "568991",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mesa Regen Group, LLC
• Mesa Serenity Assisted Living Home LLC
• Mesa Smiles Dentistry (mesa dental home)
• Mesa Surgery Center LLC
• Mesa Surgical Center, LLC (Paramount Surgery Center of Mesa)
• Mesa United Medical Investors Limited Partnership (Mi Casa Nursing Center)
• Mesa United Medical Investors, LP (Mi Casa Nursing Center Therapy)
• Mesa Urgent Care, LLC
• Mesa Urologists PC
• Mesa Valley Dental LLC

• Local Education Agency (LEA) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Local Education Agency (LEA) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.