Organization Active NPI

Dolores School District Re-4a

  • Local Education Agency (LEA)
  • Dolores, CO
National Provider Identifier
1043349285
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
DOLORES SCHOOL DISTRICT RE-4A
Practice address
100 N. 6TH Street
Dolores, CO 81323
Phone
(970) 882-7255
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marlee Hart
Title
Medicaid Coordinator
Phone
(719) 588-0397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X CO Primary

Addresses

Primary practice location

100 N. 6TH Street
Dolores, CO 81323

Mailing address

PO Box 727
Dolores, CO 81323-0727
Phone (970) 882-7255

Other practice location 1

17631 Highway 145
Dolores, CO 81323-9376
Phone (970) 882-7255

Other identifiers 1

IdentifierTypeStateIssuer
55508065MedicaidCO

Other names 1

  • Dolores School District Other name

National Provider Directory

National Provider Directory
Tax ID family
Dolores County School District Re No22 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17631 Highway 145
Dolores, CO 81323
Phone (970) 882-7255

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1043349285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "DOLORES",
            "state": "CO",
            "postal_code": "813230727",
            "telephone_number": "970-882-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N. 6TH STREET",
            "city": "DOLORES",
            "state": "CO",
            "postal_code": "81323",
            "telephone_number": "970-882-7255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17631 Highway 145",
            "address_purpose": "LOCATION",
            "city": "Dolores",
            "state": "CO",
            "postal_code": "813239376",
            "country_code": "US",
            "telephone_number": "970-882-7255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOLORES SCHOOL DISTRICT RE-4A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "MARLEE",
        "authorized_official_title_or_position": "MEDICAID COORDINATOR",
        "authorized_official_telephone_number": "719-588-0397"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55508065",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dolores School District",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dolores School District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dolores, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.