Provider Demographics
NPI:1790824696
Name:CHAMBERS COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:CHAMBERS COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERRIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-864-9466
Mailing Address - Street 1:202 1ST AVE SE
Mailing Address - Street 2:PO BOX 408-D
Mailing Address - City:LAFAYETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36862-2102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:202 1ST AVE SE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:AL
Practice Address - Zip Code:36862-2102
Practice Address - Country:US
Practice Address - Phone:334-864-9466
Practice Address - Fax:334-864-9619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL065009000Medicaid
AL052009000Medicaid
AL064009000Medicaid
AL068009000Medicaid
AL089009000Medicaid
AL=========Medicaid