Provider Demographics
NPI:1063559920
Name:PERQUIMANS COUNTY SCHOOLS
Entity type:Organization
Organization Name:PERQUIMANS COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:W
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-426-5741
Mailing Address - Street 1:411 EDENTON ROAD STREET
Mailing Address - Street 2:P.O. BOX 337
Mailing Address - City:HERTFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27944
Mailing Address - Country:US
Mailing Address - Phone:252-426-5741
Mailing Address - Fax:252-426-4913
Practice Address - Street 1:411 EDENTON ROAD STREET
Practice Address - Street 2:
Practice Address - City:HERTFORD
Practice Address - State:NC
Practice Address - Zip Code:27944
Practice Address - Country:US
Practice Address - Phone:252-426-5741
Practice Address - Fax:252-426-4913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8600093Medicaid