MEDICARE: HICKORY PUBLIC SCHOOLS

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)

General Provider Information

NPI Number	:	1477103901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HICKORY PUBLIC SCHOOLS

Provider Business Mailing Address
First Line	:	432 4TH AVE SW
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-2805
Country	:	US
Telephone Number	:	828-322-2855
Fax Number	:	828-322-1834

Provider Business Practice Location Address
First Line	:	3750 N CENTER ST
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-8089
Country	:	US
Telephone Number	:	828-327-3491
Fax Number	:	828-327-3590

Authorized Official
Title or Position	:	EC DIRECTOR
Name	:	MRS. TAMMY BEACH
Credential	:
Telephone Number	:	828-322-2855

Provider Enumeration Date	:	09/17/2019
Last Update Date	:	09/17/2019

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1619857745 — JOHN HENRY SIMPSON
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1043877582 — CYNTHIA TILLENE HUFFSTETLER LCMHC
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Directions to “HICKORY PUBLIC SCHOOLS ” Practice Location

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