Provider Demographics
NPI:1689732760
Name:ESCAMBIA CO PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:ESCAMBIA CO PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR MEDICAID
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-469-5514
Mailing Address - Street 1:30 E TEXAR DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2902
Mailing Address - Country:US
Mailing Address - Phone:850-469-5514
Mailing Address - Fax:850-469-5571
Practice Address - Street 1:30 E TEXAR DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2902
Practice Address - Country:US
Practice Address - Phone:850-469-5514
Practice Address - Fax:850-469-5571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)