Provider Demographics
NPI:1851358238
Name:ANDERSON SCHOOL DISTRICT TWO
Entity Type:Organization
Organization Name:ANDERSON SCHOOL DISTRICT TWO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED. ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:F
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-369-4001
Mailing Address - Street 1:10990 BELTON HONEA PATH HWY
Mailing Address - Street 2:
Mailing Address - City:HONEA PATH
Mailing Address - State:SC
Mailing Address - Zip Code:29654-9506
Mailing Address - Country:US
Mailing Address - Phone:864-369-4001
Mailing Address - Fax:864-369-4049
Practice Address - Street 1:10990 BELTON HONEA PATH HWY
Practice Address - Street 2:
Practice Address - City:HONEA PATH
Practice Address - State:SC
Practice Address - Zip Code:29654-9506
Practice Address - Country:US
Practice Address - Phone:864-369-4001
Practice Address - Fax:864-369-4049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSD0402Medicaid