Provider Demographics
NPI:1427079524
Name:GRANVILLE COUNTY SCHOOLS
Entity type:Organization
Organization Name:GRANVILLE COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GRANTS PROGRAM COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:STEARNE
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-693-4613
Mailing Address - Street 1:101 DELACROIX STREET
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-2516
Mailing Address - Country:US
Mailing Address - Phone:919-693-4613
Mailing Address - Fax:919-693-7391
Practice Address - Street 1:101 DELACROIX ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-2516
Practice Address - Country:US
Practice Address - Phone:919-693-4613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8600071Medicaid