Provider Demographics
NPI:1619172277
Name:FLOYD COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:FLOYD COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:BEGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-886-2354
Mailing Address - Street 1:442 KY. RT. 550
Mailing Address - Street 2:
Mailing Address - City:EASTERN
Mailing Address - State:KY
Mailing Address - Zip Code:41622
Mailing Address - Country:US
Mailing Address - Phone:606-886-2354
Mailing Address - Fax:606-886-4550
Practice Address - Street 1:FLOYD COUNTY BOARD OF EDUCATION
Practice Address - Street 2:442 KY. RT. 550
Practice Address - City:EASTERN
Practice Address - State:KY
Practice Address - Zip Code:41622
Practice Address - Country:US
Practice Address - Phone:606-886-2354
Practice Address - Fax:606-886-4550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY21-000021251300000X
251300000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Yes251300000XAgenciesLocal Education Agency (LEA)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21000021Medicaid