Provider Demographics
NPI:1275099368
Name:PIEDMONT COMMUNITY CHARTER SCHOOL
Entity Type:Organization
Organization Name:PIEDMONT COMMUNITY CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-659-4808
Mailing Address - Street 1:PO BOX 3706
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-0038
Mailing Address - Country:US
Mailing Address - Phone:704-659-4808
Mailing Address - Fax:
Practice Address - Street 1:119 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-4370
Practice Address - Country:US
Practice Address - Phone:704-659-4808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)