Provider Demographics
NPI:1437368586
Name:CASWELL COUNTY SCHOOLS
Entity Type:Organization
Organization Name:CASWELL COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EXCEPTIONAL CHILDREN
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHOWALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-694-4052
Mailing Address - Street 1:319 MAIN ST. E
Mailing Address - Street 2:PO BOX 160
Mailing Address - City:YANCEYVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27379
Mailing Address - Country:US
Mailing Address - Phone:336-694-4052
Mailing Address - Fax:336-694-1857
Practice Address - Street 1:353 COUNTY HOME RD.
Practice Address - Street 2:
Practice Address - City:YANCEYVILLE
Practice Address - State:NC
Practice Address - Zip Code:27379
Practice Address - Country:US
Practice Address - Phone:336-694-4052
Practice Address - Fax:336-694-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC170251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8600101Medicaid