Provider Demographics
NPI:1275715708
Name:ALCORN SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ALCORN SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-286-5591
Mailing Address - Street 1:PO BOX 1420
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38835-1420
Mailing Address - Country:US
Mailing Address - Phone:662-286-5591
Mailing Address - Fax:662-286-7713
Practice Address - Street 1:8A COUNTY ROAD 254
Practice Address - Street 2:
Practice Address - City:GLEN
Practice Address - State:MS
Practice Address - Zip Code:38846-9401
Practice Address - Country:US
Practice Address - Phone:662-286-3674
Practice Address - Fax:662-287-6712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09014224Medicaid