Provider Demographics
NPI:1427107127
Name:DIST SCHOOL BOARD OF CLAY COUNTY
Entity type:Organization
Organization Name:DIST SCHOOL BOARD OF CLAY COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ESE CURRICULUM SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-284-6500
Mailing Address - Street 1:23 SOUTH GREEN ST
Mailing Address - Street 2:
Mailing Address - City:GREEN COVE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32043-2705
Mailing Address - Country:US
Mailing Address - Phone:904-284-6500
Mailing Address - Fax:904-284-6533
Practice Address - Street 1:23 SOUTH GREEN ST
Practice Address - Street 2:
Practice Address - City:GREEN COVE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32043-2705
Practice Address - Country:US
Practice Address - Phone:904-284-6500
Practice Address - Fax:904-284-6533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008007118Medicaid
FL008007117Medicaid
FL008007101Medicaid
FL008007115Medicaid