Provider Demographics
NPI:1922181411
Name:LEXINGTON COUNTY SCHOOL DISTRIC THREE
Entity Type:Organization
Organization Name:LEXINGTON COUNTY SCHOOL DISTRIC THREE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:GUMMERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-532-4423
Mailing Address - Street 1:338 WEST COLUMBIA AVENUE
Mailing Address - Street 2:
Mailing Address - City:BATESBURG-LEESVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29006-2028
Mailing Address - Country:US
Mailing Address - Phone:803-532-4423
Mailing Address - Fax:803-532-8005
Practice Address - Street 1:338 WEST COLUMBIA AVENUE
Practice Address - Street 2:
Practice Address - City:BATESBURG-LEESVILLE
Practice Address - State:SC
Practice Address - Zip Code:29006-2028
Practice Address - Country:US
Practice Address - Phone:803-532-4423
Practice Address - Fax:803-532-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSD3203Medicaid