Provider Demographics
NPI:1215058946
Name:CONECUH COUNTY
Entity type:Organization
Organization Name:CONECUH COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROGDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-578-1752
Mailing Address - Street 1:100 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:AL
Mailing Address - Zip Code:36401-2843
Mailing Address - Country:US
Mailing Address - Phone:251-578-1752
Mailing Address - Fax:
Practice Address - Street 1:100 JACKSON ST
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:AL
Practice Address - Zip Code:36401-2843
Practice Address - Country:US
Practice Address - Phone:251-578-1752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)