Organization Name: | AJO UNIFIED SCHOOL DISTRICT #15 |
NPI Number: | 1871630798 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLEN CLAUDIAN CARPENTER (MEDICAID BILLING CLERK) |
Mailing Address: | 111 N Well Rd Ajo |
State: | AZ US |
Postal Code: | 853211840 |
Phone Number: | 5203875618 |
Fax Number: | 5203876545 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |