Provider Demographics
NPI:1578633418
Name:MONTGOMERY COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:MONTGOMERY COUNTY BOARD OF EDUCATION
Other - Org Name:MONTGOMERY COUNTY SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-583-2279
Mailing Address - Street 1:1100 EDGEWOOD DR
Mailing Address - Street 2:EAST CENTRAL GLRS
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-5522
Mailing Address - Country:US
Mailing Address - Phone:478-275-1018
Mailing Address - Fax:478-296-7766
Practice Address - Street 1:403 FULTON ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:GA
Practice Address - Zip Code:30445
Practice Address - Country:US
Practice Address - Phone:912-583-2279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)