MEDICARE: HENRICO COUNTY PUBLIC SCHOOL

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	:	1598834210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRICO COUNTY PUBLIC SCHOOL

Provider Business Mailing Address
First Line	:	PO BOX 23120
Second Line	:	3820 NINE MILE ROAD
City	:	RICHMOND
State	:	VA
Zip	:	23223-0420
Country	:	US
Telephone Number	:	804-652-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	3820 NINE MILE ROAD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-0420
Country	:	US
Telephone Number	:	804-652-3600
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT OF SCHOOLS
Name	:	MR. FRED MORTON
Credential	:
Telephone Number	:	804-652-3720

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	08/22/2020

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Directions to “HENRICO COUNTY PUBLIC SCHOOL ” Practice Location

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