NPIMap

Organization Active NPI

Northwest Reional Education Coop #2

Doing business as Dulce School Based Health Center

  • Local Education Agency (LEA)
  • Dulce, NM
National Provider Identifier
1720331697
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
02314459009 Issued in NM
Legal business name
NORTHWEST REIONAL EDUCATION COOP #2
Doing business as
Dulce School Based Health Center
Practice address
91 Hawk Drive
Dulce, NM 87528
Phone
(575) 759-2909
Fax
(575) 759-3533
NPI assigned
Oct 17, 2012
Last updated
Feb 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Kimberly Mizell, PHDC.
Title
Director
Phone
(575) 756-1274

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 02314459009 NM
Local Education Agency (LEA) 251300000X 02314459009 NM Primary

Addresses

Primary practice location

91 Hawk Drive
Dulce, NM 87528

Mailing address

PO Box 113
Chama, NM 87520-0113
Phone (575) 756-1274

Other names 1

  • Dulce School Based Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dulce School Based Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1720331697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113",
            "city": "CHAMA",
            "state": "NM",
            "postal_code": "875200113",
            "telephone_number": "575-756-1274",
            "fax_number": "575-756-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 HAWK DRIVE",
            "city": "DULCE",
            "state": "NM",
            "postal_code": "87528",
            "telephone_number": "575-759-2909",
            "fax_number": "575-759-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST REIONAL EDUCATION COOP #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "MIZELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "575-756-1274",
        "authorized_official_credential": "PHDC."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "02314459009",
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NM",
            "license": "02314459009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dulce School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dulce, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.