Provider Demographics
NPI:1609014364
Name:FOXFIRE CENTER FOR STUDENT SUCCESS
Entity Type:Organization
Organization Name:FOXFIRE CENTER FOR STUDENT SUCCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:SIDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-453-0754
Mailing Address - Street 1:2805 PINKERTON RD
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-8593
Mailing Address - Country:US
Mailing Address - Phone:740-453-4509
Mailing Address - Fax:740-455-4084
Practice Address - Street 1:2805 PINKERTON RD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-8593
Practice Address - Country:US
Practice Address - Phone:740-453-4509
Practice Address - Fax:740-455-4084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)