Healthcare Provider Details

I. General information

NPI: 1598834210
Provider Name (Legal Business Name): HENRICO COUNTY PUBLIC SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3820 NINE MILE ROAD
RICHMOND VA
23223-0420
US

IV. Provider business mailing address

PO BOX 23120 3820 NINE MILE ROAD
RICHMOND VA
23223-0420
US

V. Phone/Fax

Practice location:
  • Phone: 804-652-3600
  • Fax:
Mailing address:
  • Phone: 804-652-3600
  • 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: MR. FRED MORTON
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential:
Phone: 804-652-3720