Provider Demographics
NPI:1679627426
Name:COUNTY OF EL PASO SCHOOL DISTRICT NO 3
Entity Type:Organization
Organization Name:COUNTY OF EL PASO SCHOOL DISTRICT NO 3
Other - Org Name:WIDEFIELD SCHOOL DISTRICT 3
Other - Org Type:Other Name
Authorized Official - Title/Position:DISTRICT ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SKALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-391-3025
Mailing Address - Street 1:1820 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80911-1152
Mailing Address - Country:US
Mailing Address - Phone:719-391-3050
Mailing Address - Fax:719-391-9142
Practice Address - Street 1:1820 MAIN ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80911-1152
Practice Address - Country:US
Practice Address - Phone:719-391-3050
Practice Address - Fax:719-391-9142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO75086719Medicaid