Provider Demographics
NPI:1093862542
Name:SCHOOL DISTRICT FREMONT RE-1
Entity Type:Organization
Organization Name:SCHOOL DISTRICT FREMONT RE-1
Other - Org Name:CANON CITY SCHOOLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF SPEC. SVCS. & FED. PRGM
Authorized Official - Prefix:
Authorized Official - First Name:DEBI
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:BLACKWELL
Authorized Official - Suffix:
Authorized Official - Credentials:ED S
Authorized Official - Phone:719-276-5716
Mailing Address - Street 1:101 N 14TH ST
Mailing Address - Street 2:
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81212-3564
Mailing Address - Country:US
Mailing Address - Phone:719-276-5700
Mailing Address - Fax:719-276-5739
Practice Address - Street 1:101 N 14TH ST
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-3564
Practice Address - Country:US
Practice Address - Phone:719-276-5700
Practice Address - Fax:719-276-5739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)