Provider Demographics
NPI:1508919093
Name:BERTIE COUNTY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:BERTIE COUNTY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EXCEPTIONAL PROGRAMS
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:RANKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-794-6007
Mailing Address - Street 1:222 COUNTY FARM RD
Mailing Address - Street 2:PO BOX 10
Mailing Address - City:WINDSOR
Mailing Address - State:NC
Mailing Address - Zip Code:27983-9080
Mailing Address - Country:US
Mailing Address - Phone:252-794-6007
Mailing Address - Fax:252-794-6074
Practice Address - Street 1:222 COUNTY FARM RD
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:NC
Practice Address - Zip Code:27983-9080
Practice Address - Country:US
Practice Address - Phone:252-794-6007
Practice Address - Fax:252-794-6074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8600038251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8600038Medicaid