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NPI Code Detail

MEDICARE: PETERSBURG PUBLIC SCHOOLS

MEDICARE: PETERSBURG 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
1251300000XLocal Education Agency (LEA)VA

General Provider Information

NPI Number : 1598779829
Entity Type Code : Organization
Provider Name (Legal Business Name) : PETERSBURG PUBLIC SCHOOLS
Provider Business Mailing Address
First Line : 255 E SOUTH BLVD
Second Line :
City : PETERSBURG
State : VA
Zip : 23805-2700
Country : US
Telephone Number : 804-732-0511
Fax Number : 804-957-4837
Provider Business Practice Location Address
First Line : 255 SOUTH BLVD EAST
Second Line :
City : PETERSBURG
State : VA
Zip : 23805-2700
Country : US
Telephone Number : 804-732-0511
Fax Number : 804-957-4837
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : TRACIE COLEMAN
Credential :
Telephone Number : 804-732-0511
Provider Enumeration Date : 07/29/2006
Last Update Date : 08/22/2020

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Directions to “PETERSBURG PUBLIC SCHOOLS ” Practice Location

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