Provider Demographics
NPI:1184954760
Name:COUNTY OF FREMONT CUSTER SCHOOL DISTRICT RE-2
Entity type:Organization
Organization Name:COUNTY OF FREMONT CUSTER SCHOOL DISTRICT RE-2
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCRIVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-784-6312
Mailing Address - Street 1:403 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:CO
Mailing Address - Zip Code:81226-1103
Mailing Address - Country:US
Mailing Address - Phone:719-784-6312
Mailing Address - Fax:
Practice Address - Street 1:403 W 5TH ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:CO
Practice Address - Zip Code:81226-1103
Practice Address - Country:US
Practice Address - Phone:719-784-6312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)