City Of Santa Rosa Elementary

LBN: City Of Santa Rosa Elementary
City Of Santa Rosa Elementary is an health care organization with primary practice located at 217 Ridgeway Ave Office Of Special Services, Santa Rosa CA 95401-4320. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. City Of Santa Rosa Elementary can be contacted via phone (707) 528-5321, or through Miller, Robert E. via phone (707) 528-5321.

Contact Information

Primary practice address
217 Ridgeway Ave Office Of Special Services Santa Rosa CA 95401-4320
Phone: (707) 528-5321
Fax: (707) 547-5889
Website:
Map and Directions
Authorized official contact:
Name: Miller, Robert E.
Phone: (707) 528-5321

Health care specialties

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

Profile Details

NPI number 1689790644
LBN Legal business name City Of Santa Rosa Elementary
DBA Doing business as
Authorized official Miller, Robert E.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Aug 22nd, 2020 - about 5 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 1689790644 NPPES
California MEDICAID SS4970912

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