Provider Demographics
NPI:1417273442
Name:FRANKLIN COUNTY PERINATAL EDUCATION CENTER
Entity Type:Organization
Organization Name:FRANKLIN COUNTY PERINATAL EDUCATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PENDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-489-1800
Mailing Address - Street 1:335 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-1710
Mailing Address - Country:US
Mailing Address - Phone:540-489-1800
Mailing Address - Fax:540-489-1800
Practice Address - Street 1:335 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-1710
Practice Address - Country:US
Practice Address - Phone:540-489-1800
Practice Address - Fax:540-489-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA541991904251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)