Provider Demographics
NPI:1427250893
Name:CENTRAL UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:CENTRAL UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR. SPECIAL EDUCATION
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:559-274-4700
Mailing Address - Street 1:4605 N POLK AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-5334
Mailing Address - Country:US
Mailing Address - Phone:559-274-4700
Mailing Address - Fax:559-271-7211
Practice Address - Street 1:4605 N POLK AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-5334
Practice Address - Country:US
Practice Address - Phone:559-274-4700
Practice Address - Fax:559-271-7211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS1073965Medicaid