Provider Demographics
NPI:1043349624
Name:WHITEVILLE CITY SCHOOLS
Entity Type:Organization
Organization Name:WHITEVILLE CITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EC DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:910-914-4161
Mailing Address - Street 1:107 W WALTER ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-4019
Mailing Address - Country:US
Mailing Address - Phone:910-642-4116
Mailing Address - Fax:910-642-0564
Practice Address - Street 1:107 W WALTER ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-4019
Practice Address - Country:US
Practice Address - Phone:910-642-4116
Practice Address - Fax:910-642-0564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2655235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8600061Medicaid