Provider Demographics
NPI:1699979153
Name:PALMDALE SCHOOL DISTRICT
Entity type:Organization
Organization Name:PALMDALE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ORDWAY-PECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-947-7191
Mailing Address - Street 1:39139 10TH ST E
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-3419
Mailing Address - Country:US
Mailing Address - Phone:661-456-1494
Mailing Address - Fax:661-266-8493
Practice Address - Street 1:39139 10TH ST E
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-3419
Practice Address - Country:US
Practice Address - Phone:661-456-1494
Practice Address - Fax:661-266-8493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS1964840Medicaid