Provider Demographics
NPI:1073656914
Name:MOORE COUNTY SCHOOLS
Entity Type:Organization
Organization Name:MOORE COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EXCEPTIONAL CHILDREN
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:RIVES
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-947-2342
Mailing Address - Street 1:PO BOX 1180
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NC
Mailing Address - Zip Code:28327-1180
Mailing Address - Country:US
Mailing Address - Phone:910-947-2342
Mailing Address - Fax:910-947-5489
Practice Address - Street 1:160 PINCKNEY RD
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327-6004
Practice Address - Country:US
Practice Address - Phone:910-947-2342
Practice Address - Fax:910-947-5489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8600008Medicaid