MEDICARE: COVINGTON COUNTY

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	:	1821114216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVINGTON COUNTY

Provider Business Mailing Address
First Line	:	PO BOX 460
Second Line	:
City	:	ANDALUSIA
State	:	AL
Zip	:	36420-1208
Country	:	US
Telephone Number	:	334-222-7571
Fax Number	:

Provider Business Practice Location Address
First Line	:	807 C C BAKER AVE
Second Line	:
City	:	ANDALUSIA
State	:	AL
Zip	:	36421-2137
Country	:	US
Telephone Number	:	334-222-7571
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MRS. SHARON DYE
Credential	:
Telephone Number	:	334-222-7571

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	08/22/2020

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Directions to “COVINGTON COUNTY ” Practice Location

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