Provider Demographics
NPI:1376718155
Name:CALHOUN COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:CALHOUN COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMYE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURDOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-835-2061
Mailing Address - Street 1:10877 DICKEY STREET
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:GA
Mailing Address - Zip Code:39866-0366
Mailing Address - Country:US
Mailing Address - Phone:229-835-2908
Mailing Address - Fax:
Practice Address - Street 1:10877 DICKEY STREET
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:GA
Practice Address - Zip Code:39866-0366
Practice Address - Country:US
Practice Address - Phone:229-835-2908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA234994771AMedicaid