Organization
PUEBLO SCHOOL DISTRICT 60
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY SAMEK (DIRECTOR, COORDINATED SCHOOL HEALTH)
(719) 549-7154
Entity
Organization
Contact information
Practice address
315 W 11TH ST, PUEBLO, CO 81003-2804
(719) 549-7154
(719) 549-7183
Mailing address
315 W 11TH ST, PUEBLO, CO 81003-2804
(719) 549-7154
(719) 549-7183
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79920756
—
CO
Enumeration date
01/29/2007
Last updated
07/08/2008
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