Evergreen Union Elementary School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

SS5271522 Issued in CA

Legal business name

EVERGREEN UNION ELEMENTARY SCHOOL DISTRICT

Practice address

19415 Hooker Creek Rd
Cottonwood, CA 96022-9649

Phone

(530) 347-7955

Fax

(530) 347-7954

NPI assigned

Apr 19, 2007

Organization subpart

No

Name

Mr. Harley J North

Title

Superintendent

Phone

(530) 347-7955

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508083783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 HOOKER CREEK RD",
            "city": "COTTONWOOD",
            "state": "CA",
            "postal_code": "960229649",
            "telephone_number": "530-347-7955",
            "fax_number": "530-347-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 HOOKER CREEK RD",
            "city": "COTTONWOOD",
            "state": "CA",
            "postal_code": "960229649",
            "telephone_number": "530-347-7955",
            "fax_number": "530-347-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN UNION ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORTH",
        "authorized_official_first_name": "HARLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "530-347-7955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "SS5271522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia De Freitas Simplicio Ananias
• Dignity Health
• Divine Medical Staffing Services LLC
• DLB Ranch, Inc
• Joy Chiamaka Ekezie, MD
• Michael Kent Farrar, OD
• Fasttrack Health Transportation LLC
• Nioka Rena Fletcher, CMPSS
• Kimberly Ann Forsythe, LVN
• Kandice Gregg, MSW

• All providers in Cottonwood, CA
• Local Education Agency (LEA) in California

• 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.