Active NPI
San Luis Valley Board of Cooperative Educational Services
- Local Education Agency (LEA)
- Alamosa, CO
National Provider Identifier
1891895108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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, 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
- Stacey M Holland
- Title
- Sped Director
- Phone
- (719) 588-0798
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04444170 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI 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
- Raymond Moses Salazar
- Shawna Salazar, L.P.N.
- Daniel Tod Samora, LPCC
- Amy Therese Samson, SLP
- San Juan House Counseling Center
- San Luis Valley Community Mental Health Center (San Luis Valley Behavioral Health Group)
- San Luis Valley Community Mental Health Center (San Luis Valley Behavioral Health Group)
- San Luis Valley Community Mental Health Center (San Luis Valley Behavioral Health Group)
- San Luis Valley Community Mental Health Center (San Luis Valley Behavioral Health Group)
- San Luis Valley Community Mental Health Center (San Luis Valley Behavioral Health Group)
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.