Provider Demographics
NPI:1780882720
Name:PACIFIC UNION SCHOOL DISTRICT
Entity type:Organization
Organization Name:PACIFIC UNION SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT / PRINCIPAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:R
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-822-4619
Mailing Address - Street 1:3001 JANES RD
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-4701
Mailing Address - Country:US
Mailing Address - Phone:707-822-4619
Mailing Address - Fax:707-822-0129
Practice Address - Street 1:3001 JANES RD
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-4701
Practice Address - Country:US
Practice Address - Phone:707-822-4619
Practice Address - Fax:707-822-0129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)