=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891846598
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RUTHERFORD COUNTY SCHOOLS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 382 W MAIN ST
-----------------------------------------------------
City | FOREST CITY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28043-3027
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-245-0252
-----------------------------------------------------
Fax | 828-245-2990
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 382 W MAIN ST
-----------------------------------------------------
City | FOREST CITY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28043-3027
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-245-0252
-----------------------------------------------------
Fax | 828-245-2990
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXCEPTIONAL CHILDREN DIRECTOR
-----------------------------------------------------
Name | MR. THOMAS GRIFFIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 828-245-0252
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number | 8600102
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------