Provider Demographics
NPI:1215097498
Name:WATAUGA COUNTY BOARD OF EDUCATION
Entity type:Organization
Organization Name:WATAUGA COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-264-7190
Mailing Address - Street 1:100 EUROPA DR STE 290
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-2310
Mailing Address - Country:US
Mailing Address - Phone:919-942-9448
Mailing Address - Fax:919-942-7213
Practice Address - Street 1:175 PIONEER TRAIL
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-8860
Practice Address - Country:US
Practice Address - Phone:828-264-7190
Practice Address - Fax:828-264-7196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
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
NC8600044Medicaid