Northwest Regional Education Cooperative #2

Organization Active NPI Local Education Agency (LEA) · Chama, NM

NPI 1285987289 · NPPES record last updated Feb 8, 2013

Key facts

NPI
1285987289
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
License
02314459009 (NM)
Legal business name
NORTHWEST REGIONAL EDUCATION COOPERATIVE #2
Practice address
182 North Pine, BLDG C
Chama, NM 87520
Phone
(575) 756-1274
NPI assigned
Oct 16, 2012
Organization subpart
No

Authorized official

Name
Dr. Kimberly Mizell, PHDC.
Title
Director
Phone
(575) 756-1274

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Dulce School Based Health Center (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 02314459009 NM Yes

Addresses

Primary practice location

182 North Pine, BLDG C
Chama, NM 87520

Mailing address

PO Box 113
Chama, NM 87520-0113
Phone (575) 756-1274

Other names

  • NWREC#2 Other name

Other providers in Chama, NM

All providers in Chama, NM · Local Education Agency (LEA) in New Mexico

Sources for this page

Verify at the official NPI Registry.