Provider Demographics
NPI:1033377874
Name:BURGIN BOARD OF EDUCATION
Entity Type:Organization
Organization Name:BURGIN BOARD OF EDUCATION
Other - Org Name:BURGIN INDEPENDENT SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-748-5282
Mailing Address - Street 1:PO BOX B
Mailing Address - Street 2:
Mailing Address - City:BURGIN
Mailing Address - State:KY
Mailing Address - Zip Code:40310-0258
Mailing Address - Country:US
Mailing Address - Phone:859-748-5282
Mailing Address - Fax:859-748-4002
Practice Address - Street 1:440 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:HARRODSBURG
Practice Address - State:KY
Practice Address - Zip Code:40330
Practice Address - Country:US
Practice Address - Phone:859-734-2229
Practice Address - Fax:859-734-2968
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERCER CO HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251300000X
251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY611326617Medicaid
KY=========Medicaid