Provider Demographics
NPI:1104875244
Name:SPARTANBURG COUNTY SCHOOL DISTRICT SIX
Entity type:Organization
Organization Name:SPARTANBURG COUNTY SCHOOL DISTRICT SIX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:864-576-4212
Mailing Address - Street 1:1390 CAVALIER WAY
Mailing Address - Street 2:
Mailing Address - City:ROEBUCK
Mailing Address - State:SC
Mailing Address - Zip Code:29376-3367
Mailing Address - Country:US
Mailing Address - Phone:864-576-4212
Mailing Address - Fax:864-595-2411
Practice Address - Street 1:1390 CAVALIER WAY
Practice Address - Street 2:
Practice Address - City:ROEBUCK
Practice Address - State:SC
Practice Address - Zip Code:29376-3367
Practice Address - Country:US
Practice Address - Phone:864-576-4212
Practice Address - Fax:864-595-2411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)