Provider Demographics
NPI:1538965611
Name:PEAK TO PEAK MOUNTAIN CHARTER SCHOOL
Entity type:Organization
Organization Name:PEAK TO PEAK MOUNTAIN CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DESIGNEE
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOWDHURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-242-3811
Mailing Address - Street 1:PO BOX S
Mailing Address - Street 2:
Mailing Address - City:PINE MOUNTAIN CLUB
Mailing Address - State:CA
Mailing Address - Zip Code:93222-0019
Mailing Address - Country:US
Mailing Address - Phone:661-242-3811
Mailing Address - Fax:
Practice Address - Street 1:19009 CERRO NOROESTE RD.
Practice Address - Street 2:
Practice Address - City:PINE MOUNTAIN CLUB
Practice Address - State:CA
Practice Address - Zip Code:93222
Practice Address - Country:US
Practice Address - Phone:661-242-3811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)