Organization Active NPI

San Luis Valley Board of Cooperative Educational Services

  • Local Education Agency (LEA)
  • Alamosa, CO
National Provider Identifier
1891895108
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SAN LUIS VALLEY BOARD OF COOPERATIVE EDUCATIONAL SERVICES
Practice address
2261 Enterprise Dr
Alamosa, CO 81101
Phone
(719) 589-5851
Fax
(719) 589-5007
NPI assigned
Sep 25, 2006
Last updated
Jun 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Stacey M Holland
Title
Sped Director
Phone
(719) 588-0798

Specialties & licenses 1

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

Addresses

Primary practice location

2261 Enterprise Dr
Alamosa, CO 81101

Mailing address

2261 Enterprise Dr
Alamosa, CO 81101
Phone (719) 589-5851

Other identifiers 1

IdentifierTypeStateIssuer
04444170MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1891895108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 ENTERPRISE DR",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "81101",
            "telephone_number": "719-589-5851",
            "fax_number": "719-589-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 ENTERPRISE DR",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "81101",
            "telephone_number": "719-589-5851",
            "fax_number": "719-589-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS VALLEY BOARD OF COOPERATIVE EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPED DIRECTOR",
        "authorized_official_telephone_number": "719-588-0798"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04444170",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.