1245566058 NPI number — CUMBERLAND COUNTY PUBLIC SCHOOLS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245566058 NPI number — CUMBERLAND COUNTY PUBLIC SCHOOLS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CUMBERLAND COUNTY PUBLIC SCHOOLS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245566058
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/29/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 170
Provider Second Line Business Mailing Address:
1451 ANDERSON HIGHWAY
Provider Business Mailing Address City Name:
CUMBERLAND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23040-0170
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-492-4212
Provider Business Mailing Address Fax Number:
804-492-9866

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1451 ANDERSON HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CUMBERLAND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23040-0170
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-492-4212
Provider Business Practice Location Address Fax Number:
804-492-9866
Provider Enumeration Date:
10/29/2009

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
DONALD
Authorized Official Middle Name:
CARLTON
Authorized Official Title or Position:
DIRECTOR OF FINANCE AND OPERATIONS
Authorized Official Telephone Number:
804-492-4212

Provider Taxonomy Codes

  • Taxonomy code: 251300000X , with the licence number:  251300000X , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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