Provider Demographics
NPI:1487839015
Name:MARSHALL COUNTY SCHOOLS
Entity Type:Organization
Organization Name:MARSHALL COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-527-1040
Mailing Address - Street 1:86 HIGH SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:KY
Mailing Address - Zip Code:42025-7039
Mailing Address - Country:US
Mailing Address - Phone:270-527-1040
Mailing Address - Fax:270-527-0804
Practice Address - Street 1:86 HIGH SCHOOL RD
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:KY
Practice Address - Zip Code:42025-7039
Practice Address - Country:US
Practice Address - Phone:270-527-1040
Practice Address - Fax:270-527-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21Medicaid