Provider Demographics
NPI:1558569673
Name:SUMTER COUNTY
Entity Type:Organization
Organization Name:SUMTER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:D
Authorized Official - Last Name:PRIMM
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:205-652-9605
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:AL
Mailing Address - Zip Code:35470-0010
Mailing Address - Country:US
Mailing Address - Phone:205-652-9605
Mailing Address - Fax:
Practice Address - Street 1:HWY 28 TO COUNTRY CLUB DRIVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:AL
Practice Address - Zip Code:35470
Practice Address - Country:US
Practice Address - Phone:205-652-9605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUMTER COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-10
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)