# CENTRAL CONSOLIDATED SCHOOL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023795192
- **Authorized official:** MICHAEL HATHCOCK M.S. SLP-CF (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (505) 720-0198

## Contact information

- **Practice address:** HIGHWAY 64, OLD HIGH SCHOOL ROAD, SHIPROCK, NM 87420
- **Practice address phone:** (505) 368-4984
- **Mailing address:** PO BOX 1199, SHIPROCK, NM 87420-1199
- **Mailing address phone:** (505) 368-4984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2023
- **Last updated:** 06/30/2023