Fort Bragg Unified

Key facts

NPI

1497879274

Entity type

Organization (NPI type 2)

Primary specialty

Local Education Agency (LEA) 251300000X

Legal business name

FORT BRAGG UNIFIED

Practice address

312 S Lincoln St
Fort Bragg, CA 95437-4416

Phone

(707) 961-3503

Fax

(707) 964-5002

NPI assigned

Mar 19, 2007

Organization subpart

No

Authorized official

Name

Mr. Steven Lund

Title

Superintendent

Phone

(707) 961-2850

Corporate family (same tax ID) 1

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

• Mendocino County Superintendent of Schools Local Education Agency (LEA) · Ukiah, CA · NPI 1396899043
  NPD tax ID

National Provider Directory

Tax ID family

Fort Bragg Unified (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2009.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1497879274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S LINCOLN ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954374416",
            "telephone_number": "707-961-3503",
            "fax_number": "707-964-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S LINCOLN ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954374416",
            "telephone_number": "707-961-3503",
            "fax_number": "707-964-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BRAGG UNIFIED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "707-961-2850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS2365565",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, CA

• Isaac D Fishman, LMFT
• Jessica Fitch
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• Micah Fox
• Rachael Diane Franco, P.T.
• Eric George Frazier, D.C.
• Lisa Gay Fredrickson, FNP
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All providers in Fort Bragg, CA · Local Education Agency (LEA) in California