Moreno Valley High School

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

MORENO VALLEY HIGH SCHOOL

Practice address

56 Camino Grande
Angel Fire, NM 87710-8771

Phone

(575) 377-3100

Fax

(575) 377-3100

NPI assigned

Dec 8, 2021

Last updated

Dec 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jiliann Williams

Title

Business Manager

Phone

(575) 377-3100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1679231500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1037",
            "city": "ANGEL FIRE",
            "state": "NM",
            "postal_code": "877101037",
            "telephone_number": "575-377-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CAMINO GRANDE",
            "city": "ANGEL FIRE",
            "state": "NM",
            "postal_code": "877108771",
            "telephone_number": "575-377-3100",
            "fax_number": "575-377-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENO VALLEY HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JILIANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "575-377-3100"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth A Hand, CFNP
• James Butts Jr RPH (Angel Fire Pharmacy)
• Shenan Lark
• Rhonda Joann Lee, OT
• Strider Aragorn McCash, DDS
• Janet S Oliver, LPCC
• Presbyterian Healthcare Services (Moreno Valley Healthcare Clinic)
• South Central Colfax County Special Hospital District (Moreno Valley Healthcare Clinic)
• South Central Colfax County Special Hospital District (Moreno Valley Urgent Care @ Angel Fire Resort)
• Sunrise Clinics (Sunrise Clinics Moreno Vally High)

• Student Health Clinic/Center in Angel Fire, NM
• Providers in Angel Fire, NM by specialty
• Student Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.