MEDICARE: LEXINGTON COUNTY SCHOOL DISTRIC THREE

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)		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	:	1922181411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON COUNTY SCHOOL DISTRIC THREE

Provider Business Mailing Address
First Line	:	338 WEST COLUMBIA AVENUE
Second Line	:
City	:	BATESBURG-LEESVILLE
State	:	SC
Zip	:	29006-2028
Country	:	US
Telephone Number	:	803-532-4423
Fax Number	:	803-532-8005

Provider Business Practice Location Address
First Line	:	338 WEST COLUMBIA AVENUE
Second Line	:
City	:	BATESBURG-LEESVILLE
State	:	SC
Zip	:	29006-2028
Country	:	US
Telephone Number	:	803-532-4423
Fax Number	:	803-532-8005

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DR. WILLIAM M GUMMERSON
Credential	:
Telephone Number	:	803-532-4423

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	07/21/2022

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Directions to “LEXINGTON COUNTY SCHOOL DISTRIC THREE ” Practice Location

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