Provider Demographics
NPI:1689954596
Name:DILLON SCHOOL DISTRICT FOUR
Entity Type:Organization
Organization Name:DILLON SCHOOL DISTRICT FOUR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-841-4172
Mailing Address - Street 1:1738 HIGHWAY 301 NORTH
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-2855
Mailing Address - Country:US
Mailing Address - Phone:843-774-1200
Mailing Address - Fax:843-841-4180
Practice Address - Street 1:1738 HWY. 301 N.
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-2855
Practice Address - Country:US
Practice Address - Phone:843-774-1200
Practice Address - Fax:843-841-4180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251300000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCW00428SC1Medicaid