Provider Demographics
NPI:1386864601
Name:ALBUQUERQUE CARTER VOCATIONAL HIGH SCHOOL
Entity type:Organization
Organization Name:ALBUQUERQUE CARTER VOCATIONAL HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MYHRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-341-0888
Mailing Address - Street 1:1101 LAMBERTON PL. N.E.
Mailing Address - Street 2:1101 LAMBERTON PL. N.E.
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107
Mailing Address - Country:US
Mailing Address - Phone:505-341-0888
Mailing Address - Fax:505-341-0658
Practice Address - Street 1:1101 LAMBERTON PL. N.E.
Practice Address - Street 2:1101 LAMBERTON PL. N.E.
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107
Practice Address - Country:US
Practice Address - Phone:505-341-0888
Practice Address - Fax:505-341-0658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)