MEDICARE: ELKIN CITY 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)

General Provider Information

NPI Number	:	1215455266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELKIN CITY SCHOOLS

Provider Business Mailing Address
First Line	:	202 W SPRING ST
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-3449
Country	:	US
Telephone Number	:	336-835-3135
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 W SPRING ST
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-3449
Country	:	US
Telephone Number	:	336-835-3135
Fax Number	:

Authorized Official
Title or Position	:	EXCEPTIONAL CHILDREN'S DIRECTOR
Name	:	MRS. TRACEE F MCMANUS
Credential	:
Telephone Number	:	336-835-3135

Provider Enumeration Date	:	08/30/2017
Last Update Date	:	07/21/2022

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Directions to “ELKIN CITY SCHOOLS ” Practice Location

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