MEDICARE: MCCORMICK SCHOOL DISTRICT

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	:	1649215773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCCORMICK SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	821 N MINE ST
Second Line	:
City	:	MC CORMICK
State	:	SC
Zip	:	29835-9271
Country	:	US
Telephone Number	:	864-852-2435
Fax Number	:	864-852-2435

Provider Business Practice Location Address
First Line	:	821 N MINE ST
Second Line	:
City	:	MC CORMICK
State	:	SC
Zip	:	29835-9271
Country	:	US
Telephone Number	:	864-852-2435
Fax Number	:	864-852-2435

Authorized Official
Title or Position	:	DIRECTOR/COORDINATOR
Name	:	MRS. JULIE FOWLER
Credential	:
Telephone Number	:	864-852-2435

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	07/17/2008

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Directions to “MCCORMICK SCHOOL DISTRICT ” Practice Location

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