Debeque School District 49JT

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

DEBEQUE SCHOOL DISTRICT 49JT

Practice address

730 Minter Ave
Debeque, CO 81630

Phone

(970) 283-5596

Fax

(970) 283-5598

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judith D Wicker

Title

Medicaid Coordinator

Phone

(970) 254-5302

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053499962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MINTER AVE",
            "city": "DEBEQUE",
            "state": "CO",
            "postal_code": "81630",
            "telephone_number": "970-283-5596",
            "fax_number": "970-283-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MINTER AVE",
            "city": "DEBEQUE",
            "state": "CO",
            "postal_code": "81630",
            "telephone_number": "970-283-5596",
            "fax_number": "970-283-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBEQUE SCHOOL DISTRICT 49JT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WICKER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAID COORDINATOR",
        "authorized_official_telephone_number": "970-254-5302",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UN20529821",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda E Chaffin, B.S.
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• Western Slope Behavior Services, LLC

• Local Education Agency (LEA) in De Beque, CO
• Providers in De Beque, CO by specialty
• Local Education Agency (LEA) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.