NORTHWEST REIONAL EDUCATION COOP #2 (NPI# 1720331697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720331697 |
| Entity Type | Organization |
| Organization Name | NORTHWEST REIONAL EDUCATION COOP #2 |
| Other Organization Name | DULCE SCHOOL BASED HEALTH CENTER |
| Practice Address |
91 Hawk Drive Dulce NM 87528 |
| Mailing Address |
Po Box 113 Chama NM 87520-0113 |
| Practice Telephone | 5757592909 |
| Practice Fax Number | 5757593533 |
| Mailing Telephone | 5757561274 |
| Mailing Fax Number | 5757561278 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2013-02-08 |
| Authorized Official Name | KIMBERLY MIZELL (DIRECTOR) |
| Authorized Official Telephone | 5757561274 |
| Authorized Official Credential | PHDC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 02314459009 | NM | Student, Health Care |
| Y | 251300000X | Local Education Agency (LEA) | 02314459009 | NM | Agencies |
| Other Name | Type Code |
|---|---|
| Dulce School Based Health Center | Doing Business As Name - Organization |
| Street Address |
91 HAWK DRIVE |
| City | DULCE |
| State | NM |
| Zip Code | 87528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164917373 | Kelly Rae Pettigrew | Optometrist | 505 North Mundo, Dulce, NM 87528 | 2018-06-29 |
| 1780003442 | Jacob Alexander | Preventive Medicine | 500 N. Mundo, Dulce, NM 87528 | 2014-04-09 |
| 1881020089 | Jicarilla Apache Nation | Clinic/Center | 450 N Mundo Dr., Dulce, NM 87528 | 2013-09-19 |
| 1285971515 | Samuel Taylor Cropp | Pharmacist | 500 N Mundo Dr, Dulce, NM 87528 | 2013-01-07 |
| 1306116066 | Michael Shawn Kennedy | Psychologist | 113 Hawk Dr, Dulce, NM 87528 | 2012-01-11 |
| 1669762043 | Veronica A Medlin | Technician, Pathology | 1200 Stone Lake Rd, Dulce, NM 87528 | 2011-04-19 |
| 1891085262 | Stella Elizabeth Wilson | Spec/Tech, Pathology | 500 Stone Lake Road, Dulce, NM 87528 | 2011-04-19 |
| 1134419518 | Ray Morris Joe | Technician, Pathology | 500 North Mundo Road, Dulce, NM 87528 | 2011-04-19 |
| 1801186341 | Raquel Irene Cisneros | Family Medicine | 500 N. Mundo Dr., Dulce, NM 87528 | 2011-04-18 |
| 1285823435 | Karen Keating | Counselor | 26 Narrow Gauge Dr., Dulce, NM 87528 | 2007-10-23 |
| Find all providers in zip 87528 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588794259 | Dulce Independent School District | Local Education Agency (LEA) | 113 Hawk Drive, Dulce, NM 87528-0547 | 2007-03-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.