Provider Demographics
NPI:1154654705
Name:HANOVER COUNTY SCHOOL BOARD
Entity Type:Organization
Organization Name:HANOVER COUNTY SCHOOL BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL SYSTEMS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:E
Authorized Official - Last Name:DORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-365-4576
Mailing Address - Street 1:200 BERKLEY ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-1302
Mailing Address - Country:US
Mailing Address - Phone:804-365-4500
Mailing Address - Fax:804-365-4801
Practice Address - Street 1:200 BERKLEY ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-1302
Practice Address - Country:US
Practice Address - Phone:804-365-4500
Practice Address - Fax:804-365-4801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1588748743Medicaid