Provider Demographics
NPI:1003976689
Name:BRISTOL VIRGINIA PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:BRISTOL VIRGINIA PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-821-5635
Mailing Address - Street 1:222 OAK ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24201-4154
Mailing Address - Country:US
Mailing Address - Phone:276-821-5635
Mailing Address - Fax:276-821-5631
Practice Address - Street 1:222 OAK ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24201-4154
Practice Address - Country:US
Practice Address - Phone:276-821-5635
Practice Address - Fax:276-821-5631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)