Organization Active NPI

Ajo Unified School District #15

  • Student in an Organized Health Care Education/Training Program
  • Ajo, AZ
National Provider Identifier
1871630798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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, 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
Mrs. Ellen Claudian Carpenter
Title
Medicaid Billing Clerk
Phone
(520) 387-5619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
868838MedicaidAZ

Other names 1

  • AJO SCHOOLS Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.