Provider Demographics
NPI:1912886797
Name:PENN VALLEY UNION ELEMENTARY SCHOOL DISTRICT
Entity type:Organization
Organization Name:PENN VALLEY UNION ELEMENTARY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATIVE ASST.
Authorized Official - Prefix:
Authorized Official - First Name:CATHRYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RUSCICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-432-7311
Mailing Address - Street 1:PO BOX 475
Mailing Address - Street 2:
Mailing Address - City:PENN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95946-0475
Mailing Address - Country:US
Mailing Address - Phone:530-432-7311
Mailing Address - Fax:530-432-7314
Practice Address - Street 1:14804 PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:PENN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95946-9722
Practice Address - Country:US
Practice Address - Phone:530-432-7311
Practice Address - Fax:530-432-7314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchoolGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty