1871692350 NPI number — MANASSAS PARK CITY 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 1871692350 NPI number — MANASSAS PARK CITY SCHOOLS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MANASSAS PARK CITY 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:
1871692350
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:
ONE PARK CITY COURT
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
MANASSAS PARK
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20111-2395
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-335-8860
Provider Business Mailing Address Fax Number:
703-361-4583

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 PARK CITY CT.
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
MANASSAS PARK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20111-2395
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-335-8860
Provider Business Practice Location Address Fax Number:
703-361-4583
Provider Enumeration Date:
09/21/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ROLEN
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
DIRECTOR OF SPECIAL PROGRAMS
Authorized Official Telephone Number:
703-335-8861

Provider Taxonomy Codes

  • Taxonomy code: 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)