Organization Active NPI

Bloomfield School District

  • Local Education Agency (LEA)
  • Bloomfield, NM
National Provider Identifier
1710192547
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
BLOOMFIELD SCHOOL DISTRICT
Practice address
325 N Bergin LN
Bloomfield, NM 87413-6729
Phone
(505) 632-4333
Fax
(505) 632-4371
NPI assigned
May 14, 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
Mr. Joe Rasor
Title
Special Services Coordinator
Phone
(505) 632-4333

Specialties & licenses 1

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

Addresses

Primary practice location

325 N Bergin LN
Bloomfield, NM 87413-6729

Mailing address

325 N Bergin LN
Bloomfield, NM 87413-6729
Phone (505) 632-4333

Other identifiers 1

IdentifierTypeStateIssuer
64434826MedicaidNM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2251217Bloomfield School District325 Bergin Lane, Bloomfield, NM 87413Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Locations

325 N Bergin Ln
Bloomfield, NM 87413
Phone (505) 632-4389

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710192547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N BERGIN LN",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874136729",
            "telephone_number": "505-632-4333",
            "fax_number": "505-632-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N BERGIN LN",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874136729",
            "telephone_number": "505-632-4333",
            "fax_number": "505-632-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASOR",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "SPECIAL SERVICES COORDINATOR",
        "authorized_official_telephone_number": "505-632-4333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64434826",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NM

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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.