Organization Active NPI

Fredonia-Moccasin Unified School District

  • Local Education Agency (LEA)
  • Fredonia, AZ
National Provider Identifier
1811189103
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
FREDONIA-MOCCASIN UNIFIED SCHOOL DISTRICT
Practice address
221 East Hortt Street
Fredonia, AZ 86022
Phone
(928) 643-7333
Fax
(928) 643-7044
NPI assigned
Aug 10, 2007
Last updated
Aug 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Dorene Heaton Mudrow
Title
Business Manager
Phone
(928) 643-7333

Specialties & licenses 1

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

Addresses

Primary practice location

221 East Hortt Street
Fredonia, AZ 86022

Mailing address

221 East Hortt Street
PO Box 247
Fredonia, AZ 86022
Phone (928) 643-7333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1811189103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 EAST HORTT STREET",
            "address_2": "PO BOX 247",
            "city": "FREDONIA",
            "state": "AZ",
            "postal_code": "86022",
            "telephone_number": "928-643-7333",
            "fax_number": "928-643-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 EAST HORTT STREET",
            "city": "FREDONIA",
            "state": "AZ",
            "postal_code": "86022",
            "telephone_number": "928-643-7333",
            "fax_number": "928-643-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDONIA-MOCCASIN UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "MUDROW",
        "authorized_official_first_name": "DORENE",
        "authorized_official_middle_name": "HEATON",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "928-643-7333"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredonia, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.