Provider Demographics
NPI:1598894776
Name:DELTA COUNTY SCHOOL DISTRICT 50 (J)
Entity Type:Organization
Organization Name:DELTA COUNTY SCHOOL DISTRICT 50 (J)
Other - Org Name:DELTA SCHOOL DISRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-874-7607
Mailing Address - Street 1:1002 HASTINGS ST
Mailing Address - Street 2:SPECIAL SERVICES BUILDING
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-2447
Mailing Address - Country:US
Mailing Address - Phone:970-874-7607
Mailing Address - Fax:
Practice Address - Street 1:1002 HASTINGS ST
Practice Address - Street 2:SPECIAL SERVICES BUILDING
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-2447
Practice Address - Country:US
Practice Address - Phone:970-874-7607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
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)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO61334821Medicaid