Active NPI
Ajo Unified School District #15
- Student in an Organized Health Care Education/Training Program
- Ajo, AZ
National Provider Identifier
1871630798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Legal business name
- AJO UNIFIED SCHOOL DISTRICT #15
- Practice address
- 111 N Well Rd
Ajo, AZ 85321-1840 - Phone
- (520) 387-5618
- Fax
- (520) 387-6545
- NPI assigned
- Jan 31, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ellen Claudian Carpenter
- Title
- Medicaid Billing Clerk
- Phone
- (520) 387-5619
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
111 N Well Rd
Ajo, AZ 85321-1840
Mailing address
111 N Well Rd
P.O. Box 68
Ajo, AZ 85321-1840
Phone (520) 387-5618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 868838 | Medicaid | AZ |
Other names 1
- AJO SCHOOLS
National Provider Directory
National Provider DirectoryLocations
111 N Well Rd
Ajo, AZ 85321
Phone (520) 387-5618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871630798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N WELL RD",
"address_2": "P.O. BOX 68",
"city": "AJO",
"state": "AZ",
"postal_code": "853211840",
"telephone_number": "520-387-5618",
"fax_number": "520-387-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N WELL RD",
"city": "AJO",
"state": "AZ",
"postal_code": "853211840",
"telephone_number": "520-387-5618",
"fax_number": "520-387-6545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJO UNIFIED SCHOOL DISTRICT #15",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARPENTER",
"authorized_official_first_name": "ELLEN",
"authorized_official_middle_name": "CLAUDIAN",
"authorized_official_title_or_position": "MEDICAID BILLING CLERK",
"authorized_official_telephone_number": "520-387-5619",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "868838",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AJO SCHOOLS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ajo, AZ
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.