Provider Demographics
NPI:1366732349
Name:HERITAGE PEAK CHARTER SCHOOL
Entity type:Organization
Organization Name:HERITAGE PEAK CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KEEFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-992-9033
Mailing Address - Street 1:3600 MADISON AVE
Mailing Address - Street 2:SUITE 59
Mailing Address - City:NORTH HIGHLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:95660-5077
Mailing Address - Country:US
Mailing Address - Phone:866-992-9033
Mailing Address - Fax:916-338-4770
Practice Address - Street 1:3600 MADISON AVE
Practice Address - Street 2:SUITE 59
Practice Address - City:NORTH HIGHLANDS
Practice Address - State:CA
Practice Address - Zip Code:95660-5077
Practice Address - Country:US
Practice Address - Phone:866-992-9033
Practice Address - Fax:916-338-4770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA34765050108415OtherCDS CODE