Provider Demographics
NPI:1790316511
Name:BACONTON PARENTS & CITIZENS FOR BETTER EDUCATION
Entity Type:Organization
Organization Name:BACONTON PARENTS & CITIZENS FOR BETTER EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:VASSAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-565-2162
Mailing Address - Street 1:260 E WALTON ST
Mailing Address - Street 2:
Mailing Address - City:BACONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31716-7706
Mailing Address - Country:US
Mailing Address - Phone:229-787-9999
Mailing Address - Fax:
Practice Address - Street 1:260 E WALTON ST
Practice Address - Street 2:
Practice Address - City:BACONTON
Practice Address - State:GA
Practice Address - Zip Code:31716-7706
Practice Address - Country:US
Practice Address - Phone:229-787-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)