Provider Demographics
NPI:1205858305
Name:SWAIN COUNTY SCHOOLS
Entity Type:Organization
Organization Name:SWAIN COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT / EC DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLERNDA
Authorized Official - Middle Name:HALL
Authorized Official - Last Name:CALLICUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-488-3129
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 1:280 SCHOOL DR.
Practice Address - Street 2:
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713
Practice Address - Country:US
Practice Address - Phone:828-488-3129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
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
NC8600098Medicaid