=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588748743
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HANOVER COUNTY PUBLIC SCHOOLS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/24/2006
-----------------------------------------------------
Last Update Date | 09/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 BERKLEY ST HEALTH SERVICES
-----------------------------------------------------
City | ASHLAND
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23005-1302
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-365-4556
-----------------------------------------------------
Fax | 804-365-4680
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 BERKLEY STREET HEALTH SERVICES
-----------------------------------------------------
City | ASHLAND
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23005
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-365-4556
-----------------------------------------------------
Fax | 804-365-4680
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FINANCIAL SYSTEMS SPECIALIST
-----------------------------------------------------
Name | SHANNON E DORTON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 804-365-4576
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number | 690530042
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------