Provider Demographics
NPI:1912014788
Name:DORCHESTER SCHOOL DISTRICT TWO
Entity Type:Organization
Organization Name:DORCHESTER SCHOOL DISTRICT TWO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:T
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-873-2901
Mailing Address - Street 1:102 GREEN WAVE BLVD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-2457
Mailing Address - Country:US
Mailing Address - Phone:843-873-2901
Mailing Address - Fax:843-821-3904
Practice Address - Street 1:1325 C BOONE HILL RD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-2490
Practice Address - Country:US
Practice Address - Phone:843-875-4161
Practice Address - Fax:843-821-3976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
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
SCSD1802Medicaid