Provider Demographics
NPI:1003922972
Name:WISE COUNTY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:WISE COUNTY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR SPECIAL EDUCATION STUDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JERRIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-328-8017
Mailing Address - Street 1:PO BOX 1217
Mailing Address - Street 2:
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293
Mailing Address - Country:US
Mailing Address - Phone:276-328-8017
Mailing Address - Fax:276-328-3350
Practice Address - Street 1:628 LAKE ST
Practice Address - Street 2:
Practice Address - City:WISE
Practice Address - State:VA
Practice Address - Zip Code:24293
Practice Address - Country:US
Practice Address - Phone:276-328-8017
Practice Address - Fax:276-328-3350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA103TS0200X, 163WS0200X, 164W00000X, 225100000X, 225X00000X, 235Z00000X, 363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty
Not Answered163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty
Not Answered164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Not Answered363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchoolGroup - Single Specialty