CENTRAL CONSOLIDATED SCHOOL DISTRICT #22


Address: Us Hwy 64 Old High School Rd, Shiprock, NM 87420
Phone: 5053685163

CENTRAL CONSOLIDATED SCHOOL DISTRICT #22 (NPI# 1487798567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487798567
Entity Type Organization
Organization Name CENTRAL CONSOLIDATED SCHOOL DISTRICT #22
Practice Address Us Hwy 64 Old High School Rd
Shiprock
NM 87420
Mailing Address Po Box 1319
Shiprock
NM 87420-1319
Practice Telephone 5053685163
Practice Fax Number 5053685502
Mailing Telephone 5053685163
Mailing Fax Number 5053685502
Enumeration Date 2007-02-20
Last Update Date 2020-08-22
Authorized Official Name ERICA HARVEY (MEDICAID SECRETARY)
Authorized Official Telephone 5053685163
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251300000X Local Education Agency (LEA) Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NM J7695 05

Office Location

Street Address US HWY 64 OLD HIGH SCHOOL RD
City SHIPROCK
State NM
Zip Code 87420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730792508 Alicia A Sherman-howe Registered Nurse Us Hwy 64 Old High School Rd, 1199, Shiprock, NM 87420-1199 2020-08-31
1912545831 Tami Carol Miller Social Worker Us Hwy 64 Old High School Rd, Shiprock, NM 87420-8742 2019-12-11
1740823293 Sharraine Williams Occupational Therapist Us Hwy 64 Old High School Rd, Shiprock, NM 87420-1199 2019-10-28
1104467661 Nancy C. Young Registered Nurse Us Hwy 64 Old High School Rd, Shiprock, NM 87420-8742 2019-10-04
1437700846 Sonia Lansing-gleason Registered Nurse Us Hwy 64 Old High School Rd, Shiprock, NM 87420-1199 2019-09-26
1386293652 Aliina Cecilia Radcliff Registered Nurse Us Hwy 64 Old High School Rd, Shiprock, NM 87420-8742 2019-09-09
1982177200 Michelle Rene Seering Registered Nurse Us Hwy 64 Old High School Rd, Shiprock, NM 87420-1199 2019-01-09
1134694375 Lori Larochelle Registered Nurse Us Hwy 64 Old High School Rd, Shiprock, NM 87420 2018-10-03
1104330158 Sarah Julia Carter Speech-Language Pathologist Us Hwy 64 Old High School Rd, Shiprock, NM 87420 2017-11-29
1174047187 Marylee Rose Pfannenstiel Registered Nurse Us Hwy 64 Old High School Rd, Shiprock, NM 87420-1199 2017-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003424383 Ciara Hansen Psychologist Us- 491, Shiprock, NM 87420 2020-07-22
1013540848 Kelsi Marie Hartwig Dental Hygienist Highway 491 North, Yucca Street, Shiprock, NM 87420 2020-02-20
1194364232 Maria Sturtz Pharmacist Us Why 491 North, Shiprock, NM 87420 2020-01-06
1811533979 Merissa Jo De La Garza Pharmacist Highway 491 S, Shiprock, NM 87420 2019-11-25
1619528510 Heather Scott Psychologist Highway 64, Old High School Road, Shiprock, NM 87420 2019-09-23
1396305264 Malaura Creager Pharmacist North Hwy 491, Shiprock, NM 87420 2019-06-13
1275011488 Dawn Fowler Registered Nurse Us Highway 64, Shiprock, NM 87420 2018-07-31
1902384373 Brittany Jones Occupational Therapy Assistant Us 64, Old High School Rd., Shiprock, NM 87420 2018-07-30
1528561701 Patricia D Suarez Registered Nurse Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 2018-03-14
1023549284 Ellen Liversidge Speech-Language Pathologist Hwy 64, Old High School Rd., Shiprock, NM 87420 2017-03-21
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Taxonomy Information

Taxonomy Code 251300000X
Grouping Agencies
Classification Local Education Agency (LEA)

Taxonomy Definition

The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912510975 Sandoval Academy of Bilingual Education Local Education Agency (LEA) 4321 Fulcrum Way Ne Ste A, Rio Rancho, NM 87144-8410 2020-08-28
1174164974 Gordon Bernell Charter School Local Education Agency (LEA) 2821 4th St Nw, Albuquerque, NM 87107-1313 2019-10-02
1154831451 Anansi Charter School Local Education Agency (LEA) 57 State Highway 230, El Prado, NM 87529 2017-10-02
1396264347 Monte Del Sol Charter School Local Education Agency (LEA) 4157 Walking Rain Rd, Santa Fe, NM 87507-0825 2017-09-11
1316317639 New Mexico Foundation for Individuals With Disabilities Local Education Agency (LEA) 1270 Mirador Loop Ne, Rio Rancho, NM 87144-5326 2015-09-29
1104218072 Rio Gallinas School for Ecology and The Arts Local Education Agency (LEA) 1107 Montezuma St, Las Vegas, NM 87701-3519 2015-03-02
1740606102 Corrales International Charter School Local Education Agency (LEA) 3821 Singer Blvd Ne, Albuquerque, NM 87109-5804 2014-03-10
1659713931 Aldo Leopold Charter School Local Education Agency (LEA) 1422 Highway 180 E, Silver City, NM 88061-7837 2013-07-26
1669710034 Enmu Roswell Local Education Agency (LEA) 701 E Country Club Rd, Roswell, NM 88201-7607 2013-01-19
1285987289 Northwest Regional Education Cooperative #2 Local Education Agency (LEA) 182 North Pine, Bldg C, Chama, NM 87520 2012-10-16
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Competitor

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City SHIPROCK
Zip Code 87420

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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