Organization
ADAMS 12 FIVE STAR SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY LOUISE BUNJES (MEDICAID COORDINATOR)
(720) 972-4790
Entity
Organization
Contact information
Practice address
1500 E 128TH AVE, THORNTON, CO 80241-2601
(720) 972-4790
Mailing address
1500 E 128TH AVE, ATTN: MEDICAID DEPARTMENT, THORNTON, CO 80241
(720) 972-4790
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04444089
—
CO
Enumeration date
08/29/2006
Last updated
03/17/2021
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