1841351491 NPI number — TAYLOR COUNTY SCHOOL DISTRICT

Table of content: MRS. PAIGE LORRAINE FLANAGAN MS, LPC, NCC, CCTP (NPI 1710538871)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841351491 NPI number — TAYLOR COUNTY SCHOOL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TAYLOR COUNTY SCHOOL DISTRICT
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:
1841351491
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
318 N CLARK ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PERRY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32347-2930
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-838-2536
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
318 N CLARK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PERRY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32347-2930
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-838-2536
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MURPHY
Authorized Official First Name:
SHONA
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERVISOR ESE & STUDENT SERVICES
Authorized Official Telephone Number:
850-838-2536

Provider Taxonomy Codes

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

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

  • Identifier: 008048915 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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