Provider Demographics
NPI:1992845010
Name:LETCHER COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:LETCHER COUNTY BOARD OF EDUCATION
Other - Org Name:LETCHER COUNTY PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SERGENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-633-4455
Mailing Address - Street 1:224 PARKS ST
Mailing Address - Street 2:
Mailing Address - City:WHITESBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41858-7538
Mailing Address - Country:US
Mailing Address - Phone:606-633-4455
Mailing Address - Fax:606-633-4724
Practice Address - Street 1:224 PARKS ST
Practice Address - Street 2:
Practice Address - City:WHITESBURG
Practice Address - State:KY
Practice Address - Zip Code:41858-7538
Practice Address - Country:US
Practice Address - Phone:606-633-4455
Practice Address - Fax:606-633-4724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY040566251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21067012Medicaid