Provider Demographics
NPI:1063541415
Name:WELD COUNTY SCHOOL DISTRICT RE-8
Entity type:Organization
Organization Name:WELD COUNTY SCHOOL DISTRICT RE-8
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPED DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIGITTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUSTUFSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-857-7280
Mailing Address - Street 1:301 REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:FORT LUPTON
Mailing Address - State:CO
Mailing Address - Zip Code:80621-1329
Mailing Address - Country:US
Mailing Address - Phone:303-857-7280
Mailing Address - Fax:
Practice Address - Street 1:301 REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:FORT LUPTON
Practice Address - State:CO
Practice Address - Zip Code:80621-1329
Practice Address - Country:US
Practice Address - Phone:303-857-7280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO12370053Medicaid