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NPI Code Detail

MEDICARE: COUNTY OF EL PASO SCHOOL DISTRICT 20

MEDICARE: COUNTY OF EL PASO SCHOOL DISTRICT 20
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1538266762
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF EL PASO SCHOOL DISTRICT 20
Provider Business Mailing Address
First Line : 1110 CHAPEL HILLS DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3923
Country : US
Telephone Number : 719-234-1200
Fax Number :
Provider Business Practice Location Address
First Line : 1110 CHAPEL HILLS DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3923
Country : US
Telephone Number : 719-234-1200
Fax Number :
Authorized Official
Title or Position : MEDICAID COORDINATOR
Name : MISS MARCIA H DE JONG
Credential : RN
Telephone Number : 719-930-6928
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/12/2021

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Directions to “COUNTY OF EL PASO SCHOOL DISTRICT 20 ” Practice Location

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