Provider Demographics
NPI:1669505962
Name:SILVER CONSOLIDATED SCHOOLS
Entity type:Organization
Organization Name:SILVER CONSOLIDATED SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:JAUREQUI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:505-956-2090
Mailing Address - Street 1:2810 N SWAN ST
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88061-5853
Mailing Address - Country:US
Mailing Address - Phone:505-956-2000
Mailing Address - Fax:505-956-2055
Practice Address - Street 1:2810 N SWAN ST
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-5853
Practice Address - Country:US
Practice Address - Phone:505-956-2000
Practice Address - Fax:505-956-2055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)