Provider Demographics
NPI:1346250065
Name:VIRGINIA BEACH CITY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:VIRGINIA BEACH CITY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE COORDINATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:B
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:757-263-2400
Mailing Address - Street 1:1413 LASKIN RD
Mailing Address - Street 2:LASKIN RD. ANNEX
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6007
Mailing Address - Country:US
Mailing Address - Phone:757-263-2400
Mailing Address - Fax:757-263-2067
Practice Address - Street 1:1413 LASKIN RD
Practice Address - Street 2:LASKIN RD. ANNEX
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6007
Practice Address - Country:US
Practice Address - Phone:757-263-2400
Practice Address - Fax:757-263-2067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004979052Medicaid