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Organization
GRANT COUNTY BOARD OF EDUCATION
Active
Organization
GRANT COUNTY BOARD OF EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA A. STEWART (MEDICAID COORDINATOR)
(304) 267-3595
Entity
Organization
Contact information
Practice address
204 JEFFERSON AVE, PETERSBURG, WV 26847-1628
(304) 257-1011
(304) 267-3599
Mailing address
109 S. COLLEGE ST., RESA VIII, MARTINSBURG, WV 25401
(304) 267-3595
(304) 267-3599
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012257000
ALL PROVIDER NUMBERS
WV
Enumeration date
10/11/2007
Last updated
10/11/2007
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