Provider Demographics
NPI:1376618678
Name:MORGAN COUNTY DISTRICT 50J
Entity Type:Organization
Organization Name:MORGAN COUNTY DISTRICT 50J
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERROL
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-483-7762
Mailing Address - Street 1:320 CHAPMAN
Mailing Address - Street 2:
Mailing Address - City:WIGGINS
Mailing Address - State:CO
Mailing Address - Zip Code:80654
Mailing Address - Country:US
Mailing Address - Phone:970-483-7762
Mailing Address - Fax:970-483-6205
Practice Address - Street 1:320 CHAPMAN
Practice Address - Street 2:
Practice Address - City:WIGGINS
Practice Address - State:CO
Practice Address - Zip Code:80654
Practice Address - Country:US
Practice Address - Phone:970-483-7762
Practice Address - Fax:970-483-6205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO29474779Medicaid