Provider Demographics
NPI:1083768980
Name:GATES COUNTY SCHOOLS
Entity Type:Organization
Organization Name:GATES COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EXCEPTIONAL CHILDREN
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLEDIA
Authorized Official - Middle Name:DOZIER
Authorized Official - Last Name:BRITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-357-4133
Mailing Address - Street 1:709 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27938-9498
Mailing Address - Country:US
Mailing Address - Phone:252-357-4133
Mailing Address - Fax:252-357-2809
Practice Address - Street 1:709 MAIN ST
Practice Address - Street 2:
Practice Address - City:GATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:27938-9498
Practice Address - Country:US
Practice Address - Phone:252-357-3315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8600005Medicaid