Provider Demographics
NPI:1932314598
Name:ST. CHARLES PARISH SCHOOL BOARD
Entity Type:Organization
Organization Name:ST. CHARLES PARISH SCHOOL BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:LAFON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-785-6289
Mailing Address - Street 1:13855 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:LULING
Mailing Address - State:LA
Mailing Address - Zip Code:70070-6220
Mailing Address - Country:US
Mailing Address - Phone:985-785-6289
Mailing Address - Fax:
Practice Address - Street 1:13855 RIVER RD
Practice Address - Street 2:
Practice Address - City:LULING
Practice Address - State:LA
Practice Address - Zip Code:70070-6220
Practice Address - Country:US
Practice Address - Phone:985-785-6289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1415774Medicaid