=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649469271
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AZTEC MUNICIPAL SCHOOLS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2007
-----------------------------------------------------
Last Update Date | 03/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1118 W AZTEC BLVD
-----------------------------------------------------
City | AZTEC
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87410-1818
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-334-3695
-----------------------------------------------------
Fax | 505-599-4388
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1118 W AZTEC BLVD
-----------------------------------------------------
City | AZTEC
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87410-1818
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-334-3695
-----------------------------------------------------
Fax | 505-599-4388
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR EXCEPTIONAL PROGRAMS
-----------------------------------------------------
Name | MR. AMBER CURRIER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 505-334-3695
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number | 01508642009
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------