Provider Demographics
NPI:1154459907
Name:BRACKEN COUNTY SCHOOLS
Entity Type:Organization
Organization Name:BRACKEN COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:AULICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-735-2523
Mailing Address - Street 1:348 W MIAMI ST
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41004-8102
Mailing Address - Country:US
Mailing Address - Phone:606-735-2523
Mailing Address - Fax:
Practice Address - Street 1:348 W MIAMI ST
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41004-8102
Practice Address - Country:US
Practice Address - Phone:606-735-2523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171W00000X
KY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No171W00000XOther Service ProvidersContractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21012018Medicaid