Provider Demographics
NPI:1609921535
Name:EL PASO COUNTY COLORADO SCHOOL DISTRICT 49
Entity Type:Organization
Organization Name:EL PASO COUNTY COLORADO SCHOOL DISTRICT 49
Other - Org Name:EL PASO COUNTY COUNTY SCHOOL DISTRICT #49
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF BUSINESS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIDGWAY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:719-495-1100
Mailing Address - Street 1:10850 E WOODMEN RD
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-8127
Mailing Address - Country:US
Mailing Address - Phone:719-495-1100
Mailing Address - Fax:719-494-8900
Practice Address - Street 1:10850 E WOODMEN RD
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-8127
Practice Address - Country:US
Practice Address - Phone:719-495-1100
Practice Address - Fax:719-494-8900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04444196Medicaid