Provider Demographics
NPI:1003867078
Name:ROCK HILL SCHOOL DISTRICT THREE
Entity Type:Organization
Organization Name:ROCK HILL SCHOOL DISTRICT THREE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR/ESE
Authorized Official - Prefix:MS
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:H
Authorized Official - Last Name:MISENHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-981-1033
Mailing Address - Street 1:PO BOX 10072
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29731-0072
Mailing Address - Country:US
Mailing Address - Phone:803-981-1033
Mailing Address - Fax:803-981-1877
Practice Address - Street 1:1234 FLINT STREET EXT
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-6329
Practice Address - Country:US
Practice Address - Phone:803-981-1033
Practice Address - Fax:803-981-1877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSD4603251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSD4603Medicaid