Provider Demographics
NPI:1154410280
Name:CLOVIS UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:CLOVIS UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-327-9110
Mailing Address - Street 1:1680 DAVID E COOK WAY
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-0599
Mailing Address - Country:US
Mailing Address - Phone:559-327-9466
Mailing Address - Fax:559-327-9474
Practice Address - Street 1:7171 N SUGARPINE AVE
Practice Address - Street 2:
Practice Address - City:PINEDALE
Practice Address - State:CA
Practice Address - Zip Code:93650-1223
Practice Address - Country:US
Practice Address - Phone:559-327-7793
Practice Address - Fax:559-327-7794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251300000X
CA262580363L00000X
CA234331363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered251300000XAgenciesLocal Education Agency (LEA)Group - Single Specialty
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty