Black Oak Mine Unified School District

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

NPI 1487711560 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1487711560
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
BLACK OAK MINE UNIFIED SCHOOL DISTRICT
Practice address
6540 Wentworth Springs Rd
Georgetown, CA 95634
Phone
(530) 333-8300
NPI assigned
Jan 2, 2007
Organization subpart
No

Authorized official

Name
Rob Schamberg
Title
Superintendent
Phone
(530) 333-8300

Corporate family (same tax ID) 9

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Black Oak Mine Unified School District (10 organizations share this tax ID)

Locations

6540 Wentworth Springs Rd
Georgetown, CA 95634
Phone (530) 333-8300

Specialties & licenses

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

Addresses

Primary practice location

6540 Wentworth Springs Rd
Georgetown, CA 95634

Mailing address

2777 Del Monte St
West Sacramento, CA 95691-3811
Phone (916) 375-1707

Other identifiers

IdentifierTypeStateIssuer
0973783OtherCAMEDICAL

Other providers in Georgetown, CA

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

Sources for this page

Verify at the official NPI Registry.