Provider Demographics
NPI:1700644341
Name:SOUTHERN HUMBOLDT CHARTER SCHOOLS
Entity type:Organization
Organization Name:SOUTHERN HUMBOLDT CHARTER SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-946-2347
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:WEOTT
Mailing Address - State:CA
Mailing Address - Zip Code:95571-0116
Mailing Address - Country:US
Mailing Address - Phone:707-946-2347
Mailing Address - Fax:707-946-2507
Practice Address - Street 1:73 SCHOOL RD
Practice Address - Street 2:
Practice Address - City:WEOTT
Practice Address - State:CA
Practice Address - Zip Code:95571-5003
Practice Address - Country:US
Practice Address - Phone:707-946-2347
Practice Address - Fax:707-946-2507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)