1588748743 NPI number — HANOVER 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 1588748743 NPI number — HANOVER COUNTY PUBLIC SCHOOLS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANOVER 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:
1588748743
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 BERKLEY STREET
Provider Second Line Business Mailing Address:
HEALTH SERVICES
Provider Business Mailing Address City Name:
ASHLAND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23005
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-365-4556
Provider Business Mailing Address Fax Number:
804-365-4680

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 BERKLEY ST
Provider Second Line Business Practice Location Address:
HEALTH SERVICES
Provider Business Practice Location Address City Name:
ASHLAND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23005-1302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-365-4556
Provider Business Practice Location Address Fax Number:
804-365-4680
Provider Enumeration Date:
10/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DORTON
Authorized Official First Name:
SHANNON
Authorized Official Middle Name:
E
Authorized Official Title or Position:
FINANCIAL SYSTEMS SPECIALIST
Authorized Official Telephone Number:
804-365-4576

Provider Taxonomy Codes

  • Taxonomy code: 251300000X , with the licence number:  690530042 , 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)

  • Identifier: 4979265 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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