Provider Type Icon

FORT BRAGG UNIFIED NPI 1497879274


NPI Information

NPI: 1497879274
Provider Name: FORT BRAGG UNIFIED
Classification: Local Education Agency (LEA) - 251300000X
Entity Type: Organization

CLIA Number: 05D1057444

Address:
312 S LINCOLN ST
FORT BRAGG, CA
ZIP 95437
Phone: (707) 961-3503
Get Directions

FORT BRAGG UNIFIED is a local education agency lea in Fort Bragg, CA. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. FORT BRAGG UNIFIED NPI is 1497879274. The provider is registered as an organization entity type.

The provider's business location address is:

312 S LINCOLN ST
FORT BRAGG, CA
ZIP 95437-416
Phone: (707) 961-3503
Fax: (707) 964-5002

The provider's authorized official is Steven Lund .
The authorized official title is Superintendent and has the following contact phone number (707) 961-2850.

The CLIA number assigned to this NPI record is 05D1057444 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 2/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251300000XLocal Education Agency (LEA)CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SS2365565MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.