Provider Demographics
NPI:1417121195
Name:COAHOMA COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:COAHOMA COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPED DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GUSSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-624-5448
Mailing Address - Street 1:1555 LEE DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38614-2914
Mailing Address - Country:US
Mailing Address - Phone:662-624-5448
Mailing Address - Fax:
Practice Address - Street 1:1555 LEE DR
Practice Address - Street 2:
Practice Address - City:CLARKSDALE
Practice Address - State:MS
Practice Address - Zip Code:38614-2914
Practice Address - Country:US
Practice Address - Phone:662-624-5448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)