Provider Demographics
NPI:1437292216
Name:ST. MARY'S COUNTY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:ST. MARY'S COUNTY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IRT FOR SYSTEMS MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:SHAWN
Authorized Official - Last Name:GANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-475-5511
Mailing Address - Street 1:23160 MOAKLEY ST
Mailing Address - Street 2:PO BOX 1410
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-2922
Mailing Address - Country:US
Mailing Address - Phone:301-475-5511
Mailing Address - Fax:301-475-2469
Practice Address - Street 1:23160 MOAKLEY ST
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2922
Practice Address - Country:US
Practice Address - Phone:301-475-5511
Practice Address - Fax:301-475-2469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)