Provider Demographics
NPI:1689985657
Name:HAGER ELEMENTARY SCHOOL-AIS
Entity Type:Organization
Organization Name:HAGER ELEMENTARY SCHOOL-AIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-329-9444
Mailing Address - Street 1:2924 HOLT ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-4080
Mailing Address - Country:US
Mailing Address - Phone:606-329-9444
Mailing Address - Fax:606-324-5423
Practice Address - Street 1:1600 BLACKBURN AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-4580
Practice Address - Country:US
Practice Address - Phone:606-327-2731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASHLAND BOYD COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare