Organization
CLAY COUNTY DISTRICT SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY GRAY (MEDICAID DATA ASSISTANT)
(904) 336-6871
Entity
Organization
Contact information
Practice address
23 SOUTH GREEN STREET, GREEN COVE SPRINGS, FL 32043-2705
(904) 336-6871
(904) 336-6525
Mailing address
23 SOUTH GREEN STREET, GREEN COVE SPRINGS, FL 32043-2705
(904) 336-6871
(904) 336-6525
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008007112
—
FL
Enumeration date
07/02/2020
Last updated
07/02/2020
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