Provider Demographics
NPI:1386714343
Name:HABERSHAM COUNTY SCHOOLS
Entity type:Organization
Organization Name:HABERSHAM COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-754-2118
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:CLARKESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30523-0002
Mailing Address - Country:US
Mailing Address - Phone:706-754-2118
Mailing Address - Fax:706-754-1549
Practice Address - Street 1:132 STANFORD MILL RD
Practice Address - Street 2:
Practice Address - City:CLARKESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30523-5916
Practice Address - Country:US
Practice Address - Phone:706-754-2118
Practice Address - Fax:706-754-1549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
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
GA00774254AMedicaid