1013078104 NPI number — SANTA ROSA COUNTY SCHOOL BOARD

Table of content: (NPI 1013078104)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013078104 NPI number — SANTA ROSA COUNTY SCHOOL BOARD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SANTA ROSA COUNTY SCHOOL BOARD
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:
1013078104
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6751 BERRYHILL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILTON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32570-4790
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-983-5151
Provider Business Mailing Address Fax Number:
850-983-5577

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6751 BERRYHILL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILTON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32570-4790
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-983-5151
Provider Business Practice Location Address Fax Number:
850-983-5577
Provider Enumeration Date:
12/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GRACEY
Authorized Official First Name:
RODERICK
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
DIRECTOR STUDENT SERVICES
Authorized Official Telephone Number:
850-983-5587

Provider Taxonomy Codes

  • Taxonomy code: 103TS0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 081005317 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com