Provider Demographics
NPI:1225235435
Name:PIKE COUNTY
Entity Type:Organization
Organization Name:PIKE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:BAZZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-566-1850
Mailing Address - Street 1:101 W LOVE ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-1906
Mailing Address - Country:US
Mailing Address - Phone:334-566-1850
Mailing Address - Fax:
Practice Address - Street 1:101 W LOVE ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-1906
Practice Address - Country:US
Practice Address - Phone:334-566-1850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)