Provider Demographics
NPI:1164560983
Name:BREATHITT COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:BREATHITT COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:STATE MANAGER
Authorized Official - Phone:606-666-2491
Mailing Address - Street 1:420 COURT ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:KY
Mailing Address - Zip Code:41339-1029
Mailing Address - Country:US
Mailing Address - Phone:606-666-2491
Mailing Address - Fax:606-666-9464
Practice Address - Street 1:420 COURT ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:KY
Practice Address - Zip Code:41339-1029
Practice Address - Country:US
Practice Address - Phone:606-666-2491
Practice Address - Fax:606-666-9464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)