1982761714 NPI number — MENIFEE COUNTY BOARD OF EDUCATION

Table of content: (NPI 1982761714)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982761714 NPI number — MENIFEE COUNTY BOARD OF EDUCATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MENIFEE COUNTY BOARD OF EDUCATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982761714
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/18/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 110
Provider Second Line Business Mailing Address:
202 BACK STREET
Provider Business Mailing Address City Name:
FRENCHBURG
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40322
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-768-8002
Provider Business Mailing Address Fax Number:
606-768-8050

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
202 BACK STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRENCHBURG
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40322-0110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-768-8002
Provider Business Practice Location Address Fax Number:
606-768-8050
Provider Enumeration Date:
01/02/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HARDEMAN
Authorized Official First Name:
DAWN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF SPECIAL EDUCATION
Authorized Official Telephone Number:
606-768-8002

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  282705054 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X , with the licence number: 401115322 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251300000X , with the licence number: R0059 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251300000X , with the licence number: R1249 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251300000X , with the licence number: 406987054 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251300000X , with the licence number: 1408 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251300000X , with the licence number: 5026 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 21000237 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".