Organization · Type 2 NPI

Blue Heron

Local Education Agency (LEA) · Clearlake, CA

NPI number 1376972190 Active

Practice location

15850 Dam Road Ext
Clearlake, CA 95422-9359

Call (707) 994-6447 Map

Specialties and licenses

TaxonomyCodeLicense
Local Education Agency (LEA) Primary 251300000XNone listed

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…

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About NPI 1376972190

Blue Heron's National Provider Identifier is 1376972190, issued on Nov 2, 2013. The primary taxonomy on file is Local Education Agency (LEA) (251300000X), and the practice location is in Clearlake, CA. The record was last updated on Nov 2, 2013.