Provider Demographics
NPI:1053332932
Name:RANDOLPH COUNTY SCHOOLS
Entity Type:Organization
Organization Name:RANDOLPH COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EXC CHILDREN SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:C
Authorized Official - Last Name:VONCANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-318-6060
Mailing Address - Street 1:100 EUROPA DR STE 290
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-2310
Mailing Address - Country:US
Mailing Address - Phone:919-942-9448
Mailing Address - Fax:919-942-7213
Practice Address - Street 1:2222 S FAYETTEVILLE ST STE C
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27205-7368
Practice Address - Country:US
Practice Address - Phone:336-318-6166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8600073Medicaid