Organization
FIELDBROOK ELEMENTARY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLENA MOSS (SUPERINTENDENT)
(707) 839-3201
Entity
Organization
Contact information
Practice address
4070 FIELDBROOK RD, MCKINLEYVILLE, CA 95519-8129
(707) 839-3201
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
—
12-62794
MEDI-CAL
CA
Enumeration date
01/04/2007
Last updated
08/22/2020
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