Provider Demographics
NPI:1891979589
Name:PLAQUEMINES PARISH SCHOOL BOARD
Entity Type:Organization
Organization Name:PLAQUEMINES PARISH SCHOOL BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINDENTENT
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-595-6307
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:557 F. EDWARD HEBERT BLVD.
Mailing Address - City:BELLE CHASSE
Mailing Address - State:LA
Mailing Address - Zip Code:70037-0069
Mailing Address - Country:US
Mailing Address - Phone:504-595-6307
Mailing Address - Fax:504-398-0844
Practice Address - Street 1:1484 WOODLAND HIGHWAY
Practice Address - Street 2:
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037
Practice Address - Country:US
Practice Address - Phone:504-595-6355
Practice Address - Fax:504-398-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1701297Medicaid