Provider Demographics
NPI:1851572242
Name:COFFEE COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:COFFEE COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:334-897-5016
Mailing Address - Street 1:400 REDDOCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:ELBA
Mailing Address - State:AL
Mailing Address - Zip Code:36323-1661
Mailing Address - Country:US
Mailing Address - Phone:334-897-5016
Mailing Address - Fax:
Practice Address - Street 1:400 REDDOCH HILL RD
Practice Address - Street 2:
Practice Address - City:ELBA
Practice Address - State:AL
Practice Address - Zip Code:36323-1661
Practice Address - Country:US
Practice Address - Phone:334-897-5016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)