Provider Demographics
NPI:1366509465
Name:PAINTSVILLE INDEPENDENT SCHOOLS
Entity Type:Organization
Organization Name:PAINTSVILLE INDEPENDENT SCHOOLS
Other - Org Name:PAINTSVILLE CITY SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:COY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-789-2654
Mailing Address - Street 1:305 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-1037
Mailing Address - Country:US
Mailing Address - Phone:606-789-2654
Mailing Address - Fax:606-789-7412
Practice Address - Street 1:305 2ND ST
Practice Address - Street 2:
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240-1037
Practice Address - Country:US
Practice Address - Phone:606-789-2654
Practice Address - Fax:606-789-7412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21000229Medicaid