Provider Demographics
NPI:1568830651
Name:PARK COUNTY SCHOOL DISTRICT RE2
Entity Type:Organization
Organization Name:PARK COUNTY SCHOOL DISTRICT RE2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-836-4407
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:FAIRPLAY
Mailing Address - State:CO
Mailing Address - Zip Code:80440-0189
Mailing Address - Country:US
Mailing Address - Phone:719-836-4407
Mailing Address - Fax:719-836-2275
Practice Address - Street 1:640 HATHAWAY ST.
Practice Address - Street 2:
Practice Address - City:FAIRPLAY
Practice Address - State:CO
Practice Address - Zip Code:80440-0189
Practice Address - Country:US
Practice Address - Phone:719-836-4407
Practice Address - Fax:719-836-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)