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NPI Code Detail

MEDICARE: LAS CRUCES SCHOOL DISTRICT NO. 2

MEDICARE: LAS CRUCES SCHOOL DISTRICT NO. 2
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNM
2251300000XLocal Education Agency (LEA)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851301857
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAS CRUCES SCHOOL DISTRICT NO. 2
Provider Business Mailing Address
First Line : 505 S MAIN ST
Second Line : SUITE 249
City : LAS CRUCES
State : NM
Zip : 88001-1206
Country : US
Telephone Number : 505-527-5884
Fax Number : 505-527-5886
Provider Business Practice Location Address
First Line : 505 S MAIN ST STE 249
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-1243
Country : US
Telephone Number : 575-527-5823
Fax Number : 505-527-5886
Authorized Official
Title or Position : MEDICAID SCHOOL BASED SERVICES COOR
Name : ELIZABETH J TINGUELY
Credential : R.N.
Telephone Number : 575-527-5823
Provider Enumeration Date : 08/09/2006
Last Update Date : 11/05/2020

Similar Medicare Providers

1699968586 — PABLO ROCHA
Practice Location Address:
505 S MAIN ST STE 249
LAS CRUCES, NM
88001-1243
Practice Phone: 575-527-6093
Practice Fax: 575-527-5886
1992487607 — MRS. RAFAELLA HERNANDEZ
Practice Location Address:
505 S MAIN ST STE 249
LAS CRUCES, NM
88001-1243
Practice Phone: 575-527-6093
Practice Fax: 575-527-5886
1235631185 — ALIVIA ROCHELLE JURNEY M.S., CCC-SLP
Practice Location Address:
505 S MAIN ST STE 249
LAS CRUCES, NM
88001-1243
Practice Phone: 575-527-5823
Practice Fax: 575-527-5886
1356297196 — JIANNA CAVINESS
Practice Location Address:
505 S MAIN ST STE 249
LAS CRUCES, NM
88001-1243
Practice Phone: 575-527-6093
Practice Fax:
1649740671 — SANDRA RUIZ LMSW
Practice Location Address:
505 S MAIN ST STE 249
LAS CRUCES, NM
88001-1243
Practice Phone: 575-527-5823
Practice Fax: 575-527-5886
1487625950 — JON PAUL DEBORD LCSW
Practice Location Address:
505 S MAIN ST STE 249
LAS CRUCES, NM
88001-1243
Practice Phone: 575-527-5823
Practice Fax: 575-527-5886

Directions to “LAS CRUCES SCHOOL DISTRICT NO. 2 ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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