Provider Demographics
NPI:1023165933
Name:MOJAVE UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:MOJAVE UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-824-4001
Mailing Address - Street 1:3500 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:MOJAVE
Mailing Address - State:CA
Mailing Address - Zip Code:93501-1143
Mailing Address - Country:US
Mailing Address - Phone:661-824-4001
Mailing Address - Fax:661-824-4268
Practice Address - Street 1:3500 DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:MOJAVE
Practice Address - State:CA
Practice Address - Zip Code:93501-1143
Practice Address - Country:US
Practice Address - Phone:661-824-4001
Practice Address - Fax:661-824-4268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)