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Sierra Grande School

Sierra Grande School is a health care provider in Blanca, CO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 17523 E Highway 160, Blanca, CO 81123, US
Practice Location Phone719-379-3257
Practice Location Fax719-379-2572
Legal Business NameSIERRA GRANDE SCHOOL
NPI ?1033296769
Entity TypeOrganization
Enumeration Date ? Nov 1, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Sierra Grande School

SpecialtySpecializationLicenseLicense State
Local Education Agency (LEA)

legacy-id-icon Legacy Provider IDs of Sierra Grande School

Provider IdIssuer StateIssuer TypeIssuer
43204261ColoradoMedicaid

official-icon Authorized Official of Sierra Grande School

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Sierra Grande School's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Vicky J Cordova
Authorized Official Title/PositionBOOKKEEPER
Authorized Official Phone Number719-379-3259