Provider Demographics
NPI:1497809321
Name:CARLSBAD MUNICIPAL SCHOOLS
Entity type:Organization
Organization Name:CARLSBAD MUNICIPAL SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MSBS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-234-3200
Mailing Address - Street 1:406 N ALAMEDA ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-5015
Mailing Address - Country:US
Mailing Address - Phone:575-234-3200
Mailing Address - Fax:575-628-4440
Practice Address - Street 1:406 N ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-5015
Practice Address - Country:US
Practice Address - Phone:575-234-3200
Practice Address - Fax:575-628-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM0000K3057Medicaid