Provider Demographics
NPI:1124229257
Name:CAROLINE COUNTY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:CAROLINE COUNTY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR OF PUPIL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-479-3253
Mailing Address - Street 1:204 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629-1210
Mailing Address - Country:US
Mailing Address - Phone:410-479-1460
Mailing Address - Fax:410-479-0108
Practice Address - Street 1:204 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:MD
Practice Address - Zip Code:21629-1210
Practice Address - Country:US
Practice Address - Phone:410-479-1460
Practice Address - Fax:410-479-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD541578100Medicaid
MD414976900Medicaid