Provider Demographics
NPI:1316082324
Name:MARTIN COUNTY SCHOOLS
Entity type:Organization
Organization Name:MARTIN COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-809-4168
Mailing Address - Street 1:300 N WATTS ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892-2056
Mailing Address - Country:US
Mailing Address - Phone:252-792-1575
Mailing Address - Fax:
Practice Address - Street 1:300 N WATTS ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-2056
Practice Address - Country:US
Practice Address - Phone:252-792-1575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
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
NC8600036Medicaid