MESA UNIFIED SCHOOL DISTRICT NO. 4


Address: 1025 N Country Club Dr, Mesa, AZ 85201-3302
Phone: 4804720685

MESA UNIFIED SCHOOL DISTRICT NO. 4 (NPI# 1346388287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346388287
Entity Type Organization
Organization Name MESA UNIFIED SCHOOL DISTRICT NO. 4
Practice Address 1025 N Country Club Dr
Mesa
AZ 85201-3302
Practice Telephone 4804720685
Practice Fax Number 4804720705
Mailing Telephone 4804720685
Mailing Fax Number 4804720705
Enumeration Date 2007-02-02
Last Update Date 2020-08-22
Authorized Official Name MRS. ALBERTA LONGACRE (DIRECTOR MEDICAID MONITORING)
Authorized Official Telephone 4804720685
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251300000X Local Education Agency (LEA) AZ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ 568991 05

Office Location

Street Address 1025 N COUNTRY CLUB DR
City MESA
State AZ
Zip Code 85201-3302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144200288 Debra Gonzales Registered Nurse 1025 N Country Club Dr, Mesa, AZ 85201-3307 2006-01-17
1629678693 Autrey Taylor Veitel Specialist/Technologist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-10-29
1790390375 Rebecca Ann Galaviz Registered Nurse 1025 N Country Club Dr, Mesa, AZ 85201-3302 2020-09-10
1811506652 Erika Mcsweeney Occupational Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-07-28
1780293415 Samantha Gubka Occupational Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3302 2020-07-28
1003425851 Kaye Sjoholm Physical Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-07-28
1740899574 Brooke Danielle Ermisch Speech-Language Pathologist 1025 N Country Club Dr, Mesa, AZ 85201-3302 2020-07-28
1023626371 Taylor Dunnahoo Speech-Language Pathologist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-07-22
1093349524 Jana Campos Occupational Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-02-24
1730719287 Nicole Frey Registered Nurse 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174141980 Arch Hospice, LLC. Hospice Care, Community Based 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 2020-07-08
1861025876 Summit Bhc Mesa LLC Clinic/Center 846 North Center Street Suite 101, Mesa, AZ 85201 2020-02-18
1427600774 Coleen Chatter Counselor 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 2019-07-16
1013487800 Akos Live Family Medicine 1902 W. Main Street, Mesa, AZ 85201 2018-12-05
1760990329 Sage Counseling, Inc. Community/Behavioral Health 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 2018-01-17
1336590025 Horizon Health and Wellness, Inc. Assisted Living Facility 453 West Sunset Circle, Mesa, AZ 85201 2016-06-24
1356711279 Cheryl Agosto Registered Nurse 1025 N. Country Club Dr, Mesa, AZ 85201 2015-10-05
1861877961 Richard Roble Speech-Language Pathologist 125 N. Country Club Dr., Mesa, AZ 85201 2015-07-30
1326440991 Demetria Harris Counselor 455 N. Mesa Drive #11, Mesa, AZ 85201 2014-09-25
1588002489 Zhen Liu Acupuncturist 210n. Center St, #102, Mesa, AZ 85201 2013-06-13
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Taxonomy Information

Taxonomy Code 251300000X
Grouping Agencies
Classification Local Education Agency (LEA)

Taxonomy Definition

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.
Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922568195 Cambridge Academy East, Inc. Local Education Agency (LEA) 9412 E Brown Rd, Mesa, AZ 85207-4338 2019-03-22
1215327911 Pathways School and Evaluation Center Local Education Agency (LEA) 737 W Guadalupe Rd Ste 100, Mesa, AZ 85210-7716 2015-02-02
1073640900 Choice Education and Development Corp Local Education Agency (LEA) 1460 S Horne, Mesa, AZ 85204-5760 2007-02-27
1992848832 Franklin Arts Academy Local Education Agency (LEA) 2929 E Mckellips Rd, Mesa, AZ 85213-3128 2007-02-14
1578196606 Robert Inzunza LLC Local Education Agency (LEA) 5116 S Salk Ln, Mesa, AZ 85212-8005 2020-02-18
1568853752 Seeds of Gaia LLC Local Education Agency (LEA) 455 S Mesa Dr Unit 142, Mesa, AZ 85210-2711 2015-02-10
1487961066 Gilbert Public Schools Local Education Agency (LEA) 7125 E Monterey Ave, Mesa, AZ 85209-7230 2010-09-03
1851428783 Edkey,inc Local Education Agency (LEA) 1460 S Horne, Mesa, AZ 85204-5760 2007-02-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215586748 Victory Collegiate Academy Corp. Local Education Agency (LEA) 3535 N 63rd Ave, Phoenix, AZ 85033-4503 2019-09-07
1447815493 Prescott Valley Charter School Local Education Agency (LEA) 9500 E Lorna Ln, Prescott Valley, AZ 86314-2324 2019-05-06
1598329195 Cambridge Academy East, Inc. Local Education Agency (LEA) 20365 E Ocotillo Rd, Queen Creek, AZ 85142-9584 2019-04-29
1396308854 Fit Kids, Inc Local Education Agency (LEA) 250 S. Mcqueen Road, Chandler, AZ 85225 2019-04-19
1619530375 Fit Kids, Inc. Local Education Agency (LEA) 1846 E Bella Vista Rd, San Tan Valley, AZ 85143-6387 2019-04-18
1174186845 Fit Kids, Inc. Local Education Agency (LEA) 7900 S Jesse Owens Pkwy, Phoenix, AZ 85042-6523 2019-04-18
1982164166 South Phoenix Prep and Arts Academy Local Education Agency (LEA) 7450 S 40th St, Phoenix, AZ 85042-6351 2019-03-22
1841750023 Vector Prep and Arts Academy Local Education Agency (LEA) 2020 N Arizona Ave, Chandler, AZ 85225-3496 2019-03-22
1225595010 Pioneer Preparatory Academy Local Education Agency (LEA) 6510 W Clarendon Ave, Phoenix, AZ 85033-4001 2019-02-27
1811467285 Edison Poject Local Education Agency (LEA) 8340 W Northern Ave, Glendale, AZ 85305-1305 2018-11-28
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Competitor

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City MESA
Zip Code 85201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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