Organization
PENASCO INDEPENDENT SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDY J MONTOYA (ASSISTANT SUPERINTENDENT)
(505) 587-2395
Entity
Organization
Contact information
Practice address
13 SCHOOL ROAD HWY 75, PENASCO, NM 87553-0520
(505) 587-2395
(505) 587-2513
Mailing address
PO BOX 520, PENASCO, NM 87553-0520
(505) 587-2395
(505) 587-2513
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P6722
—
NM
Enumeration date
02/14/2007
Last updated
08/22/2020
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