Healthcare Provider Details

I. General information

NPI: 1619896164
Provider Name (Legal Business Name): ASPEN SCHOOL DISTRICT RE1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 HIGH SCHOOL ROAD
ASPEN CO
81611
US

IV. Provider business mailing address

235 HIGH SCHOOL ROAD
ASPEN CO
81611
US

V. Phone/Fax

Practice location:
  • Phone: 970-925-3760
  • Fax:
Mailing address:
  • Phone: 970-925-3760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: RICHARD MAXWELL MAROLT
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 970-829-4885