Provider Demographics
NPI:1447462924
Name:CALEXICO UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:CALEXICO UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:AMBRIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-768-3800
Mailing Address - Street 1:901 ANDRADE AVE.
Mailing Address - Street 2:
Mailing Address - City:CALEXICO
Mailing Address - State:CA
Mailing Address - Zip Code:92231
Mailing Address - Country:US
Mailing Address - Phone:760-768-3895
Mailing Address - Fax:760-768-3871
Practice Address - Street 1:901 ANDRADE AVE.
Practice Address - Street 2:
Practice Address - City:CALEXICO
Practice Address - State:CA
Practice Address - Zip Code:92231
Practice Address - Country:US
Practice Address - Phone:760-768-3888
Practice Address - Fax:760-768-3853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS1363099Medicaid