Organization
MOUNTAIN VALLEY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA DAWN HAMMEL RN (RN SCHOOL NURSE)
(719) 655-2578
Entity
Organization
Contact information
Practice address
403 PITKIN AVE, SAGUACHE, CO 81149
(719) 655-0267
(719) 655-0269
Mailing address
PO BOX 127, 403 PITKIN AVE, SAGUACHE, CO 81149
(719) 655-0267
(719) 655-0269
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00873233
—
CO
Enumeration date
11/01/2006
Last updated
08/22/2020
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