1073561320 NPI number — HAMPTON SCHOOL DISTRICT ONE

Table of content: (NPI 1073561320)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073561320 NPI number — HAMPTON SCHOOL DISTRICT ONE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAMPTON SCHOOL DISTRICT ONE
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:
OFFICE OF PROGRAMS FOR EXCEPTIONAL CHILDREN
Provider Other Organization Name Type Code:
5
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:
1073561320
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/03/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 784
Provider Second Line Business Mailing Address:
713 JACKSON AVE W
Provider Business Mailing Address City Name:
HAMPTON
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29924-0784
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-943-9434
Provider Business Mailing Address Fax Number:
803-943-9454

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
372 PINE STREET EAST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VARNVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29944-0962
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-943-9434
Provider Business Practice Location Address Fax Number:
803-943-9454
Provider Enumeration Date:
05/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCTEER
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERINTENDENT
Authorized Official Telephone Number:
803-943-4576

Provider Taxonomy Codes

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

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

  • Identifier: SD2501 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com