Provider Demographics
NPI:1689886368
Name:CONCHO ELEMENTARY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CONCHO ELEMENTARY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MADRID
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:928-337-4665
Mailing Address - Street 1:PO BOX 200
Mailing Address - Street 2:
Mailing Address - City:CONCHO
Mailing Address - State:AZ
Mailing Address - Zip Code:85924-0200
Mailing Address - Country:US
Mailing Address - Phone:928-337-4665
Mailing Address - Fax:928-337-2455
Practice Address - Street 1:HIGHWAY 61 & CIDER RD.
Practice Address - Street 2:
Practice Address - City:CONCHO
Practice Address - State:AZ
Practice Address - Zip Code:85924-0200
Practice Address - Country:US
Practice Address - Phone:928-337-4665
Practice Address - Fax:928-337-2455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)