Healthcare Provider Details

I. General information

NPI: 1578581492
Provider Name (Legal Business Name): CARROLL COUNTY PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 PINE ST
HILLSVILLE VA
24343-1463
US

IV. Provider business mailing address

605 PINE ST
HILLSVILLE VA
24343-1463
US

V. Phone/Fax

Practice location:
  • Phone: 276-728-3191
  • Fax: 276-728-3195
Mailing address:
  • Phone:
  • Fax:

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: MRS. TAMMY QUESENBERRY
Title or Position: FINANCE MANAGER
Credential:
Phone: 276-728-3191