Healthcare Provider Details

I. General information

NPI: 1922388180
Provider Name (Legal Business Name): CHARLES CITY COUNTY PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2011
Last Update Date: 08/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10910 COURTHOUSE RD
CHARLES CITY VA
23030-3426
US

IV. Provider business mailing address

10910 COURTHOUSE ROAD CHARLES CITY COUNTY PUBLIC SCHOOLS
CHARLES CITY VA
23030
US

V. Phone/Fax

Practice location:
  • Phone: 804-652-4612
  • Fax: 804-829-6723
Mailing address:
  • Phone: 804-652-4612
  • Fax: 804-829-6723

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: DR. JANET CRAWLEY
Title or Position: SUPERINTENDENT
Credential: ED.D
Phone: 804-652-4612