Healthcare Provider Details

I. General information

NPI: 1902470552
Provider Name (Legal Business Name): COUNTY OF WELD, SCHOOL DIST 5J
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2021
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CENTENNIAL DR STE A
MILLIKEN CO
80543-3215
US

IV. Provider business mailing address

110 CENTENNIAL DR STE A
MILLIKEN CO
80543-3215
US

V. Phone/Fax

Practice location:
  • Phone: 970-573-0649
  • Fax:
Mailing address:
  • Phone: 970-573-0649
  • 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: ADRIANNE DUNNING
Title or Position: BOND COORDINATOR/GRANT MANAGEMENT
Credential:
Phone: 970-587-6060