Provider Demographics
NPI:1952429110
Name:WINSTON-SALEM FORYSTH COUNTY SCHOOLS
Entity type:Organization
Organization Name:WINSTON-SALEM FORYSTH COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR EC
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMPSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-727-2083
Mailing Address - Street 1:1605 MILLER ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-4911
Mailing Address - Country:US
Mailing Address - Phone:336-727-2083
Mailing Address - Fax:336-727-2396
Practice Address - Street 1:1605 MILLER ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-4911
Practice Address - Country:US
Practice Address - Phone:336-727-2083
Practice Address - Fax:336-727-2396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
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
NC8600028Medicaid