Provider Demographics
NPI:1851460729
Name:CRISP COUNTY SCHOOL SYSTEM
Entity Type:Organization
Organization Name:CRISP COUNTY SCHOOL SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AGENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-273-3217
Mailing Address - Street 1:146 ALLISON RD
Mailing Address - Street 2:
Mailing Address - City:CORDELE
Mailing Address - State:GA
Mailing Address - Zip Code:31015-8022
Mailing Address - Country:US
Mailing Address - Phone:229-273-3217
Mailing Address - Fax:
Practice Address - Street 1:201 S 7TH ST
Practice Address - Street 2:
Practice Address - City:CORDELE
Practice Address - State:GA
Practice Address - Zip Code:31015-4215
Practice Address - Country:US
Practice Address - Phone:229-273-3217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
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
GA00773275AOtherPROVIDER NUMBER