Centenial School District R1

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CENTENIAL SCHOOL DISTRICT R1

Practice address

909 N Main Street
San Luis, CO 81152

Phone

(719) 672-3322

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Lyclia Benton

Title

Bookkeeper

Phone

(719) 677-3241

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215001516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "address_2": "909 N MAIN STREET",
            "city": "SAN LUIS CO",
            "state": "CO",
            "postal_code": "81152",
            "telephone_number": "719-672-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N MAIN STREET",
            "city": "SAN LUIS",
            "state": "CO",
            "postal_code": "81152",
            "telephone_number": "719-672-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENIAL SCHOOL DISTRICT R1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "LYCLIA",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "719-677-3241"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26426765",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amistad of San Luis, Inc
• Costilla County Ambulance District
• Costilla County Ambulance District
• County of Costilla
• County of Costilla (Costilla County Public Health Agency)
• Donna Ruth Descoteaux, LCSW

• Local Education Agency (LEA) in San Luis, CO
• Providers in San Luis, 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.