Healthcare Provider Details

I. General information

NPI: 1376967042
Provider Name (Legal Business Name): CITY OF CHICKASAW BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2014
Last Update Date: 02/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N CRAFT HWY
CHICKASAW AL
36611-1307
US

IV. Provider business mailing address

201 N CRAFT HWY
CHICKASAW AL
36611-1307
US

V. Phone/Fax

Practice location:
  • Phone: 251-452-2256
  • Fax: 251-380-8117
Mailing address:
  • Phone: 251-452-2256
  • Fax: 251-380-8117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRIS EDWARD ARRAS
Title or Position: CSFO
Credential: CPA
Phone: 251-452-2256