Provider Demographics
NPI:1578620555
Name:ERLANGER-ELSMERE BOARD OF EDUCATION
Entity Type:Organization
Organization Name:ERLANGER-ELSMERE BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-727-2009
Mailing Address - Street 1:500 GRAVES AVE
Mailing Address - Street 2:
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-1620
Mailing Address - Country:US
Mailing Address - Phone:859-727-2009
Mailing Address - Fax:859-727-5653
Practice Address - Street 1:500 GRAVES AVE
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1620
Practice Address - Country:US
Practice Address - Phone:859-727-2009
Practice Address - Fax:859-727-5653
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
KY2100041900Medicaid