MEDICARE: NASH-ROCKY MT. SCHOOLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093736944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NASH-ROCKY MT. SCHOOLS

Provider Business Mailing Address
First Line	:	100 EUROPA DR STE 290
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-2310
Country	:	US
Telephone Number	:	919-942-9448
Fax Number	:	919-942-7213

Provider Business Practice Location Address
First Line	:	930 EASTERN AVE
Second Line	:
City	:	NASHVILLE
State	:	NC
Zip	:	27856-1716
Country	:	US
Telephone Number	:	252-459-5220
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF EXC CHILDREN SERVICES
Name	:	MRS. VICKIE B. WELLS
Credential	:
Telephone Number	:	252-462-2507

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	08/22/2020

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