Provider Demographics
NPI:1114000221
Name:FARMINGTON PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:FARMINGTON PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-324-9840
Mailing Address - Street 1:1390 E 20TH ST
Mailing Address - Street 2:P O BOX # 5850
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-9037
Mailing Address - Country:US
Mailing Address - Phone:505-599-8535
Mailing Address - Fax:505-599-8536
Practice Address - Street 1:1390 E 20TH ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-9037
Practice Address - Country:US
Practice Address - Phone:505-599-8535
Practice Address - Fax:505-599-8536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDISTRICT #65251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM00072381OtherPUBLIC SCHOOL