Saguache County #2

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SAGUACHE COUNTY #2

Practice address

501 Garfield Ave
Moffat, CO 81143

Phone

(719) 256-4710

Fax

(719) 256-4730

NPI assigned

Oct 31, 2006

Last updated

Jul 28, 2008By 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

Mr. Charles R Warren, PHD

Title

Superintendent

Phone

(719) 256-4710

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moffat Consolidated School #2 Other name

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1700962933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "MOFFAT",
            "state": "CO",
            "postal_code": "81143",
            "telephone_number": "719-256-4710",
            "fax_number": "719-256-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GARFIELD AVE",
            "city": "MOFFAT",
            "state": "CO",
            "postal_code": "81143",
            "telephone_number": "719-256-4710",
            "fax_number": "719-256-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUACHE COUNTY #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "719-256-4710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20672233",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moffat Consolidated School #2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda C Hawkins, MA
• Annabel H Jepsen, MA
• Life's Hope Therapeutic Services PLLC
• Ezra Lockhart, PHD
• McKeeg Russell, CNA
• Valley-Wide Health Systems, Inc (Moffat Family Health Clinic)
• Jennifer Young

• Local Education Agency (LEA) in Moffat, CO
• Providers in Moffat, 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 Jul 28, 2008; 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.