Provider Demographics
NPI:1316360167
Name:EAST PERRY ELEMENTARY
Entity Type:Organization
Organization Name:EAST PERRY ELEMENTARY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NEACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-436-3423
Mailing Address - Street 1:1559 E KY HIGHWAY 80
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-8516
Mailing Address - Country:US
Mailing Address - Phone:606-436-3423
Mailing Address - Fax:606-439-3353
Practice Address - Street 1:1559 E KY HIGHWAY 80
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-8516
Practice Address - Country:US
Practice Address - Phone:606-436-3423
Practice Address - Fax:606-439-3353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health