NPIMap

Organization Active NPI

Golden Spread Rural Frontier Coalition

  • Local Education Agency (LEA)
  • Clayton, NM
National Provider Identifier
1629108774
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GOLDEN SPREAD RURAL FRONTIER COALITION
Practice address
113 Walnut St
Clayton, NM 88415-3049
Phone
(505) 374-6207
Fax
(505) 374-0566
NPI assigned
Mar 7, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Shana Morris
Title
Executive Director
Phone
(505) 374-6207

Specialties & licenses 1

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

Addresses

Primary practice location

113 Walnut St
Clayton, NM 88415-3049

Mailing address

113 Walnut St
Clayton, NM 88415-3049
Phone (505) 374-6207

Other identifiers 1

IdentifierTypeStateIssuer
15974588MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Golden Spread Rural Frontier Coalition4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

113 Walnut St
Clayton, NM 88415
Phone (505) 374-6207

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629108774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WALNUT ST",
            "city": "CLAYTON",
            "state": "NM",
            "postal_code": "884153049",
            "telephone_number": "505-374-6207",
            "fax_number": "505-374-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WALNUT ST",
            "city": "CLAYTON",
            "state": "NM",
            "postal_code": "884153049",
            "telephone_number": "505-374-6207",
            "fax_number": "505-374-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SPREAD RURAL FRONTIER COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-374-6207",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15974588",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.