Provider Demographics
NPI:1073654349
Name:HENRY COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:HENRY COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:H.C. SPECIAL EDUCATION SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-845-8607
Mailing Address - Street 1:326 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:KY
Mailing Address - Zip Code:40050-2573
Mailing Address - Country:US
Mailing Address - Phone:502-845-8607
Mailing Address - Fax:502-845-8617
Practice Address - Street 1:326 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:KY
Practice Address - Zip Code:40050-2573
Practice Address - Country:US
Practice Address - Phone:502-845-8607
Practice Address - Fax:502-845-8617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY21052014251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21052014Medicaid