Organization Active NPI

Routt County School District Re-1

  • Local Education Agency (LEA)
  • Hayden, CO
National Provider Identifier
1083744759
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ROUTT COUNTY SCHOOL DISTRICT RE-1
Practice address
495 W Jefferson Ave
Hayden, CO 81639
Phone
(970) 276-3864
NPI assigned
Mar 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ruby Wertenberger
Title
Medicaid Coordinator
Phone
(970) 276-3864

Specialties & licenses 1

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

Addresses

Primary practice location

495 W Jefferson Ave
Hayden, CO 81639

Mailing address

PO Box 70
Hayden, CO 81639-0070
Phone (970) 276-3864

Other identifiers 1

IdentifierTypeStateIssuer
29525276MedicaidCO

Other names 1

  • Hayden School District Other name

National Provider Directory

National Provider Directory

Locations

495 W Jefferson Ave
Hayden, CO 81639
Phone (970) 276-3864

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083744759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "HAYDEN",
            "state": "CO",
            "postal_code": "816390070",
            "telephone_number": "970-276-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 W JEFFERSON AVE",
            "city": "HAYDEN",
            "state": "CO",
            "postal_code": "81639",
            "telephone_number": "970-276-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUTT COUNTY SCHOOL DISTRICT RE-1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WERTENBERGER",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "MEDICAID COORDINATOR",
        "authorized_official_telephone_number": "970-276-3864",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29525276",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayden School District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hayden, CO

Sources for this page

  • 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.