Provider Demographics
NPI:1891831459
Name:DURHAM PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:DURHAM PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:919-560-3716
Mailing Address - Street 1:511 CLEVELAND ST
Mailing Address - Street 2:P.O. BOX 30002
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3334
Mailing Address - Country:US
Mailing Address - Phone:919-560-2000
Mailing Address - Fax:919-560-2422
Practice Address - Street 1:511 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3334
Practice Address - Country:US
Practice Address - Phone:919-560-2000
Practice Address - Fax:919-560-2422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8600032Medicaid