BLACK OAK MINE UNIFIED SCHOOL DISTRICT (NPI# 1487711560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487711560 |
| Entity Type | Organization |
| Organization Name | BLACK OAK MINE UNIFIED SCHOOL DISTRICT |
| Practice Address |
6540 Wentworth Springs Rd Georgetown CA 95634 |
| Mailing Address |
2777 Del Monte St West Sacramento CA 95691-3811 |
| Practice Telephone | 5303338300 |
| Mailing Telephone | 9163751707 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROB SCHAMBERG (SUPERINTENDENT) |
| Authorized Official Telephone | 5303338300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 0973783 | 01 |
| Street Address |
6540 WENTWORTH SPRINGS RD |
| City | GEORGETOWN |
| State | CA |
| Zip Code | 95634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700427648 | Jennifer Dwight-frost | Counselor | 6540 Wentworth Springs Rd, Georgetown, CA 95634-9701 | 2019-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912023318 | Kenneth F. Hajek | Dentist | 2774 Miners Flat Rd, Georgetown, CA 95634 | 2007-03-21 |
| 1134189368 | Alan E Lubanes | Optometrist | 6325 Hwy 193, Georgetown, CA 95634 | 2006-03-23 |
| 1982689626 | Gregory L Dales | Registered Nurse | 6065 Highway 193, Georgetown, CA 95634 | 2005-12-14 |
| 1861487746 | Jacqueline Percy | Emergency Medicine | Bitburg Hospital, Bitburg Air Base, BITBURG 95634 | 2005-09-16 |
| 1265975148 | Daisy Klith | Family Medicine | 6065 Highway 193, Georgetown, CA 95634 | 2016-11-28 |
| 1972675411 | William Garland Windle | Dentist | 2774 Miners Flat Rd., Georgetown, CA 95634-1706 | 2006-11-13 |
| 1588797450 | Keith P Harston | Chiropractor | 2776 Miners Flat Road, Georgetown, CA 95634-1855 | 2007-03-13 |
| 1275789562 | Mark Lowell Greenmun | Dentist | 2774 Miners Flat Rd, Georgetown, CA 95634-9345 | 2008-08-18 |
| 1619004710 | Leslie Tucker Smith | Marriage & Family Therapist | 6087 Front St, Suite 2, Georgetown, CA 95634-9358 | 2007-02-27 |
| 1346226693 | Marshall Medical Center | Clinic/Center | 6065 State Hwy 193, Georgetown, CA 95634-9623 | 2005-12-19 |
| Find all providers in zip 95634 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689817686 | Sussex Academy of Arts & Sciences | Local Education Agency (LEA) | 21777 Sussex Pines Rd, Georgetown, DE 19947-3901 | 2009-04-07 |
| 1790920692 | Georgetown Exempted Village School District | Local Education Agency (LEA) | 1043 Mount Orab Pike, Georgetown, OH 45121-8440 | 2008-12-05 |
| 1578788543 | Georgetown Isd | Local Education Agency (LEA) | 1700 Laurel St, Georgetown, TX 78626-8100 | 2007-04-16 |
| 1710019195 | Georgetown Public Schools | Local Education Agency (LEA) | 51 North St, Georgetown, MA 01833-1602 | 2007-03-12 |
| 1649314519 | State of Delaware | Local Education Agency (LEA) | 17137 County Seat Hwy, Georgetown, DE 19947-4864 | 2007-02-16 |
| 1922158088 | Scott County Schools | Local Education Agency (LEA) | 2168 Frankfort Rd, Georgetown, KY 40324-9434 | 2007-01-11 |
| 1508938804 | Quitman County School System | Local Education Agency (LEA) | 178 Kaigler Road, Georgetown, GA 39854 | 2006-11-14 |
| 1114035722 | Georgetown Ridge Farm 4 | Local Education Agency (LEA) | 400 W West St, Georgetown, IL 61846-1846 | 2006-08-25 |
| 1639198773 | Georgetown County School District | Local Education Agency (LEA) | 2018 Church Street, Georgetown, SC 29440 | 2006-07-19 |
| 1740486067 | Child Development Specialties, Inc. | Local Education Agency (LEA) | 131 Prater Dr, Georgetown, KY 40324-8663 | 2007-06-24 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 95634 |
Please comment or provide details below to improve the information on BLACK OAK MINE UNIFIED SCHOOL DISTRICT.
| 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.