MEDICARE: GRIFFIN SPALDING COUNTY CO SCHOOL SYSTEM

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	:	1700956711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRIFFIN SPALDING COUNTY CO SCHOOL SYSTEM

Provider Business Mailing Address
First Line	:	PO BOX 799
Second Line	:
City	:	WHITE SPRINGS
State	:	FL
Zip	:	32096-0799
Country	:	US
Telephone Number	:	800-565-2162
Fax Number	:

Provider Business Practice Location Address
First Line	:	2126 SOUTH SIXTH STREET
Second Line	:
City	:	GRIFFIN
State	:	GA
Zip	:	30223
Country	:	US
Telephone Number	:	800-565-2162
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM ADMINISTRATOR
Name	:	MR. JOHN L VASSAR JR.
Credential	:
Telephone Number	:	800-565-2162

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	06/09/2008

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