Provider Demographics
NPI:1871660142
Name:THE SCHOOL BOARD OF HERNANDO COUNTY
Entity Type:Organization
Organization Name:THE SCHOOL BOARD OF HERNANDO COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR OF ESE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-797-7022
Mailing Address - Street 1:919 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-2397
Mailing Address - Country:US
Mailing Address - Phone:352-797-7022
Mailing Address - Fax:
Practice Address - Street 1:919 N BROAD ST
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-2397
Practice Address - Country:US
Practice Address - Phone:352-797-7022
Practice Address - Fax:352-797-7122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00804518Medicaid