Provider Demographics
NPI:1447437041
Name:RANDOLPH COUNTY SCHOOL SYSTEM
Entity type:Organization
Organization Name:RANDOLPH COUNTY SCHOOL SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WORTHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-357-4611
Mailing Address - Street 1:PO BOX 288
Mailing Address - Street 2:
Mailing Address - City:WEDOWEE
Mailing Address - State:AL
Mailing Address - Zip Code:36278-0288
Mailing Address - Country:US
Mailing Address - Phone:256-357-4611
Mailing Address - Fax:
Practice Address - Street 1:14 BROAD ST
Practice Address - Street 2:SUITE 3
Practice Address - City:WEDOWEE
Practice Address - State:AL
Practice Address - Zip Code:36278-0288
Practice Address - Country:US
Practice Address - Phone:256-357-4611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)