Provider Demographics
NPI:1477506228
Name:FLORENCE COUNTY SCHOOL DISTRICT FIVE
Entity Type:Organization
Organization Name:FLORENCE COUNTY SCHOOL DISTRICT FIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PROSSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-386-2358
Mailing Address - Street 1:152 EAST MARION ST. P.O. BOX 98
Mailing Address - Street 2:
Mailing Address - City:JOHNSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29555-6517
Mailing Address - Country:US
Mailing Address - Phone:843-386-2358
Mailing Address - Fax:843-386-3139
Practice Address - Street 1:152 EAST MARION ST.
Practice Address - Street 2:
Practice Address - City:JOHNSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29555-6517
Practice Address - Country:US
Practice Address - Phone:843-386-2358
Practice Address - Fax:843-386-3139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSD2105Medicaid