Evergreen Elementary School District

LBN: Evergreen Elementary School District
Evergreen Elementary School District is an health care organization with primary practice located at 3188 Quimby Road , San Jose CA 95148-3022. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Evergreen Elementary School District can be contacted via phone (408) 270-6800, or through Black, Clifton via phone (408) 270-6814.

Contact Information

Primary practice address
3188 Quimby Road San Jose CA 95148-3022
Phone: (408) 270-6800
Fax: (408) 274-3894
Website:
Map and Directions
Authorized official contact:
Name: Black, Clifton CLEAR ADMINISTRATIVE
Phone: (408) 270-6814

Health care specialties

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

Profile Details

NPI number 1669520326
LBN Legal business name Evergreen Elementary School District
DBA Doing business as
Authorized official Black, Clifton CLEAR ADMINISTRATIVE
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Feb 10th, 2010 - about 14 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 1669520326 NPPES
California Other 43-69435 MEDI-CAL

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