Healthcare Provider Details

I. General information

NPI: 1730141508
Provider Name (Legal Business Name): HIGH PLAINS REGIONAL EDUCATION COOP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N 2ND ST
RATON NM
87740-3803
US

IV. Provider business mailing address

101 N 2ND ST
RATON NM
87740-3803
US

V. Phone/Fax

Practice location:
  • Phone: 505-445-7090
  • Fax: 505-445-7663
Mailing address:
  • Phone: 505-445-7090
  • Fax: 505-445-7663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: MR. R. STEPHEN AGUIRRE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 505-445-7090