Provider Demographics
NPI:1992721187
Name:FLUVANNA COUNTY PUBLIC SCHOOLS
Entity type:Organization
Organization Name:FLUVANNA COUNTY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMANUS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:434-975-9400
Mailing Address - Street 1:225 LAMBS LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-8951
Mailing Address - Country:US
Mailing Address - Phone:434-975-9400
Mailing Address - Fax:434-975-9401
Practice Address - Street 1:14455 JAMES MADISON HWY
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:VA
Practice Address - Zip Code:22963-4136
Practice Address - Country:US
Practice Address - Phone:434-589-8208
Practice Address - Fax:434-589-2248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
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
VA4980841Medicaid