Provider Demographics
NPI:1033279401
Name:CHARLOTTE-MECKLENBURG SCHOOLS
Entity Type:Organization
Organization Name:CHARLOTTE-MECKLENBURG SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:RHYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-343-6960
Mailing Address - Street 1:700 E STONEWALL ST STE 404
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-1167
Mailing Address - Country:US
Mailing Address - Phone:980-343-6960
Mailing Address - Fax:980-343-5433
Practice Address - Street 1:700 E STONEWALL ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2778
Practice Address - Country:US
Practice Address - Phone:980-343-6960
Practice Address - Fax:980-343-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8600051251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8600051Medicaid