Organization Active NPI

Montezuma County School District Re-6

  • Local Education Agency (LEA)
  • Mancos, CO
National Provider Identifier
1710016977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MONTEZUMA COUNTY SCHOOL DISTRICT RE-6
Practice address
395 Grand Ave
Mancos, CO 81328-9071
Phone
(970) 533-7748
NPI assigned
Mar 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan Doudy
Title
Business Manager
Phone
(970) 533-7748

Specialties & licenses 1

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

Addresses

Primary practice location

395 Grand Ave
Mancos, CO 81328-9071

Mailing address

395 Grand Ave
Mancos, CO 81328-9071
Phone (970) 533-7748

Other identifiers 1

IdentifierTypeStateIssuer
45571074MedicaidCO

Other names 1

  • Mancos School District Other name

National Provider Directory

National Provider Directory

Locations

395 W Grand Ave
Mancos, CO 81328
Phone (970) 533-7748

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710016977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 GRAND AVE",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "813289071",
            "telephone_number": "970-533-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 GRAND AVE",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "813289071",
            "telephone_number": "970-533-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEZUMA COUNTY SCHOOL DISTRICT RE-6",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUDY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "970-533-7748"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45571074",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mancos School District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mancos, CO

Sources for this page

  • 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.