Provider Demographics
NPI:1326243155
Name:RAMAH NAVAJO SCHOOL BOARD, INC.
Entity Type:Organization
Organization Name:RAMAH NAVAJO SCHOOL BOARD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE SERVICES DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-775-3256
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:PINEHILL
Mailing Address - State:NM
Mailing Address - Zip Code:87357-0310
Mailing Address - Country:US
Mailing Address - Phone:505-775-3271
Mailing Address - Fax:505-775-3233
Practice Address - Street 1:7 BIA 140
Practice Address - Street 2:
Practice Address - City:PINEHILL
Practice Address - State:NM
Practice Address - Zip Code:87357-0310
Practice Address - Country:US
Practice Address - Phone:505-775-3271
Practice Address - Fax:505-775-3233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Not Answered3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMR0829Medicaid
NM00055587Medicaid
NM00055587Medicaid
40051257Medicare ID - Type UnspecifiedCLINIC