Provider Demographics
NPI:1508814757
Name:HORRY COUNTY SCHOOLS
Entity Type:Organization
Organization Name:HORRY COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT, HORRY COUNTY SCHOOL
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAXEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:843-488-6716
Mailing Address - Street 1:1605 HORRY ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29527-4539
Mailing Address - Country:US
Mailing Address - Phone:843-488-6700
Mailing Address - Fax:843-488-6952
Practice Address - Street 1:1605 HORRY ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29527-4539
Practice Address - Country:US
Practice Address - Phone:843-488-6700
Practice Address - Fax:843-488-6952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251300000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSD2601Medicaid