Provider Demographics
NPI:1023644309
Name:SCHOOL DISTRICT POLK COUNTY
Entity type:Organization
Organization Name:SCHOOL DISTRICT POLK COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-535-6488
Mailing Address - Street 1:1915 S FLORAL AVE
Mailing Address - Street 2:
Mailing Address - City:BARTOW
Mailing Address - State:FL
Mailing Address - Zip Code:33830
Mailing Address - Country:US
Mailing Address - Phone:863-535-6488
Mailing Address - Fax:863-519-4698
Practice Address - Street 1:1915 S FLORAL AVE
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830
Practice Address - Country:US
Practice Address - Phone:863-535-6488
Practice Address - Fax:863-519-4698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008012812Medicaid