MEDICARE: FRANKLIN COUNTY PERINATAL EDUCATION CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)	541991904	VA

General Provider Information

NPI Number	:	1417273442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLIN COUNTY PERINATAL EDUCATION CENTER

Provider Business Mailing Address
First Line	:	335 S MAIN ST
Second Line	:
City	:	ROCKY MOUNT
State	:	VA
Zip	:	24151-1710
Country	:	US
Telephone Number	:	540-489-1800
Fax Number	:	540-489-1800

Provider Business Practice Location Address
First Line	:	335 S MAIN ST
Second Line	:
City	:	ROCKY MOUNT
State	:	VA
Zip	:	24151-1710
Country	:	US
Telephone Number	:	540-489-1800
Fax Number	:	540-489-1800

Authorized Official
Title or Position	:	CEO
Name	:	MRS. AMY PENDLETON
Credential	:
Telephone Number	:	540-489-1800

Provider Enumeration Date	:	04/15/2010
Last Update Date	:	04/15/2010

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