Bennett Valley Union Elem

LBN: Bennett Valley Union Elem
Bennett Valley Union Elem is an health care organization with primary practice located at 2250 Mesquite Dr , Santa Rosa CA 95405-8310. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Bennett Valley Union Elem can be contacted via phone (707) 542-2201, or through Field, Susan D via phone (707) 542-2201.

Contact Information

Primary practice address
2250 Mesquite Dr Santa Rosa CA 95405-8310
Phone: (707) 542-2201
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Field, Susan D ED.D.
Phone: (707) 542-2201

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X California

Profile Details

NPI number 1215135868
LBN Legal business name Bennett Valley Union Elem
DBA Doing business as
Authorized official Field, Susan D ED.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215135868 NPPES
California MEDICAID SS4970623

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