Provider Demographics
NPI:1336206911
Name:RESCUE UNION ELEMENTARY DISTRICT
Entity type:Organization
Organization Name:RESCUE UNION ELEMENTARY DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-672-4804
Mailing Address - Street 1:2390 BASS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:RESCUE
Mailing Address - State:CA
Mailing Address - Zip Code:95672-9571
Mailing Address - Country:US
Mailing Address - Phone:530-672-4804
Mailing Address - Fax:530-672-1889
Practice Address - Street 1:2390 BASS LAKE RD
Practice Address - Street 2:
Practice Address - City:RESCUE
Practice Address - State:CA
Practice Address - Zip Code:95672-9571
Practice Address - Country:US
Practice Address - Phone:530-672-4804
Practice Address - Fax:530-672-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA09-61978OtherMEDI-CAL