Provider Demographics
NPI:1518183086
Name:MESA COUNTY VALLEY SCHOOL DISTRICT #51
Entity Type:Organization
Organization Name:MESA COUNTY VALLEY SCHOOL DISTRICT #51
Other - Org Name:D & E CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:D & E CLINIC COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:DROGOS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:970-254-5405
Mailing Address - Street 1:410 HILL AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-2528
Mailing Address - Country:US
Mailing Address - Phone:970-254-5405
Mailing Address - Fax:970-245-0825
Practice Address - Street 1:410 HILL AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-2528
Practice Address - Country:US
Practice Address - Phone:970-254-5405
Practice Address - Fax:970-245-0825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)