Organization
MODESTO CITY SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HERBST (ASSOCIATE SUPERINTENDENT, STUDENT S)
(209) 492-5113
Entity
Organization
Contact information
Practice address
1581 CUMMINS DRIVE, SUITE B, MODESTO, CA 95358
(209) 492-5113
(209) 574-1541
Mailing address
1581 CUMMINS DRIVE, SUITE B, MODESTO, CA 95358
(209) 492-5113
(209) 574-1541
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SS5071167
—
CA
Enumeration date
02/06/2007
Last updated
03/19/2025
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