Provider Demographics
NPI:1619193802
Name:MAXWELL MUNICIPAL SCHOOLS
Entity Type:Organization
Organization Name:MAXWELL MUNICIPAL SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WELLNESS CENTER MEDICAID CLERK
Authorized Official - Prefix:MR
Authorized Official - First Name:ART
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-375-2371
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:MAXWELL
Mailing Address - State:NM
Mailing Address - Zip Code:87728-0275
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4TH & PARQUE AVENUE
Practice Address - Street 2:
Practice Address - City:MAXWELL
Practice Address - State:NM
Practice Address - Zip Code:87728
Practice Address - Country:US
Practice Address - Phone:505-375-2371
Practice Address - Fax:
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 Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)