Healthcare Provider Details

I. General information

NPI: 1376563205
Provider Name (Legal Business Name): WEST POINT PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 MAIN ST
WEST POINT VA
23181-1712
US

IV. Provider business mailing address

PO BOX T
WEST POINT VA
23181-1712
US

V. Phone/Fax

Practice location:
  • Phone: 804-843-4368
  • Fax: 804-843-4421
Mailing address:
  • Phone: 804-843-4368
  • Fax: 804-843-4421

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. JUANITA S. CAWLEY
Title or Position: DIRECTOR OF SPECIAL PROGRAMS
Credential:
Phone: 804-843-4368