Plateau Valley Skchool District 50

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PLATEAU VALLEY SKCHOOL DISTRICT 50

Practice address

56600 Highway 330
Collbran, CO 81624-9505

Phone

(970) 487-3547

Fax

(970) 245-0825

NPI assigned

Nov 7, 2006

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) 254-5308

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497824288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56600 HIGHWAY 330",
            "city": "COLLBRAN",
            "state": "CO",
            "postal_code": "816249505",
            "telephone_number": "970-487-3547",
            "fax_number": "970-245-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56600 HIGHWAY 330",
            "city": "COLLBRAN",
            "state": "CO",
            "postal_code": "816249505",
            "telephone_number": "970-487-3547",
            "fax_number": "970-245-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATEAU VALLEY SKCHOOL DISTRICT 50",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "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": "970-254-5308",
        "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": "UN99280540",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Lynn Hedstrom, AGACNP-BC FNP-BC APN
• Juniper West Counseling, Inc.
• Paige Michal Marvin
• Monument Physical Therapy LLC
• Plateau Valley Hospital District
• Scott E Rollins, MD
• Zacharri William Trujillo, CAREGIVER,QMAP
• Lynda Walters, M.D.
• Vance L. Wilson, LCSW
• Erika Woodyard, MD

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