Provider Demographics
NPI:1023421641
Name:RIO BLANCO BOCES
Entity type:Organization
Organization Name:RIO BLANCO BOCES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAID COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-675-2064
Mailing Address - Street 1:402 W MAIN ST
Mailing Address - Street 2:STE 219
Mailing Address - City:RANGELY
Mailing Address - State:CO
Mailing Address - Zip Code:81648-2412
Mailing Address - Country:US
Mailing Address - Phone:970-675-2064
Mailing Address - Fax:970-675-5023
Practice Address - Street 1:402 W MAIN ST
Practice Address - Street 2:STE 219
Practice Address - City:RANGELY
Practice Address - State:CO
Practice Address - Zip Code:81648-2412
Practice Address - Country:US
Practice Address - Phone:970-675-2064
Practice Address - Fax:970-675-5023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)