MEDICARE: HORRY COUNTY 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)	251300000X	SC

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	:	1508814757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORRY COUNTY SCHOOLS

Provider Business Mailing Address
First Line	:	1605 HORRY ST
Second Line	:
City	:	CONWAY
State	:	SC
Zip	:	29527-4539
Country	:	US
Telephone Number	:	843-488-6700
Fax Number	:	843-488-6952

Provider Business Practice Location Address
First Line	:	1605 HORRY ST
Second Line	:
City	:	CONWAY
State	:	SC
Zip	:	29527-4539
Country	:	US
Telephone Number	:	843-488-6700
Fax Number	:	843-488-6952

Authorized Official
Title or Position	:	SUPERINTENDENT, HORRY COUNTY SCHOOL
Name	:	MR. RICK A MAXEY
Credential	:	PHD
Telephone Number	:	843-488-6716

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	11/02/2016

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Directions to “HORRY COUNTY SCHOOLS ” Practice Location

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