Organization
MERCED UHSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FORE (SUPERINTENDENT)
(206) 385-6412
Entity
Organization
Contact information
Practice address
3430 A ST, ATWATER, CA 95301-5100
(209) 385-6413
Mailing address
2777 DEL MONTE ST, WEST SACRAMENTO, CA 95691-3811
(916) 375-1707
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24-65789
MEDI-CAL
CA
Enumeration date
01/03/2007
Last updated
08/22/2020
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