Provider Demographics
NPI:1699861864
Name:COUNTY OF RIO GRANDE CONSOLIDATED SCHOOL DISTRICT NO. 8
Entity type:Organization
Organization Name:COUNTY OF RIO GRANDE CONSOLIDATED SCHOOL DISTRICT NO. 8
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPECIAL PROJECTS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:VIGIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-852-5996
Mailing Address - Street 1:345 EAST PROSPECT AVENUE
Mailing Address - Street 2:
Mailing Address - City:MONTE VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81144
Mailing Address - Country:US
Mailing Address - Phone:719-852-5996
Mailing Address - Fax:719-852-6184
Practice Address - Street 1:345 E PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:MONTE VISTA
Practice Address - State:CO
Practice Address - Zip Code:81144-1175
Practice Address - Country:US
Practice Address - Phone:719-852-5996
Practice Address - Fax:719-852-6184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO22231358Medicaid