Central Consolidated School District #22

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

NPI 1487798567 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1487798567
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
CENTRAL CONSOLIDATED SCHOOL DISTRICT #22
Practice address
US Hwy 64 Old High School Rd
Shiprock, NM 87420
Phone
(505) 368-5163
Fax
(505) 368-5502
NPI assigned
Feb 20, 2007
Organization subpart
No

Authorized official

Name
Erica Harvey
Title
Medicaid Secretary
Phone
(505) 368-5163

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

US Hwy 64 Old High School Rd
Shiprock, NM 87420

Mailing address

PO Box 1319
Shiprock, NM 87420-1319
Phone (505) 368-5163

Other identifiers

IdentifierTypeStateIssuer
J7695MedicaidNM

Other providers in Shiprock, NM

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

Sources for this page

Verify at the official NPI Registry.