Provider Demographics
NPI:1104973577
Name:ANDERSON COUNTY SCHOOL DISTRICT ONE
Entity type:Organization
Organization Name:ANDERSON COUNTY SCHOOL DISTRICT ONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:864-847-7344
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:SC
Mailing Address - Zip Code:29697-0099
Mailing Address - Country:US
Mailing Address - Phone:864-847-7344
Mailing Address - Fax:864-847-3551
Practice Address - Street 1:801 N HAMILTON ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:SC
Practice Address - Zip Code:29697-1061
Practice Address - Country:US
Practice Address - Phone:864-847-7344
Practice Address - Fax:864-847-3551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSD0401Medicaid