Healthcare Provider Details

I. General information

NPI: 1114143393
Provider Name (Legal Business Name): GADSDEN INDEPENDENT SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 01/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 MCNUTT RD
SUNLAND PARK NM
88063
US

IV. Provider business mailing address

PO BOX 70
ANTHONY NM
88021-0070
US

V. Phone/Fax

Practice location:
  • Phone: 505-233-3925
  • Fax: 505-882-6280
Mailing address:
  • Phone: 505-233-3925
  • Fax: 505-882-6280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. ELIZABETH J. ROSENCRANS
Title or Position: MSBS COORDINATOR
Credential: RN
Phone: 575-882-6101