1154520021 NPI number — MASON COUNTY BOARD OF EDUCATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154520021 NPI number — MASON COUNTY BOARD OF EDUCATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MASON 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:
1154520021
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/12/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2001 MCCOY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGTON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25701-4937
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-529-6205
Provider Business Mailing Address Fax Number:
304-529-6209

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PT PLEASANT
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25550-1317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-675-4540
Provider Business Practice Location Address Fax Number:
304-675-5704
Provider Enumeration Date:
07/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
NEAL
Authorized Official First Name:
SANDY
Authorized Official Middle Name:
K
Authorized Official Title or Position:
SECRETARY IV
Authorized Official Telephone Number:
304-529-6205

Provider Taxonomy Codes

  • Taxonomy code: 251300000X , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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