Provider Demographics
NPI:1457402281
Name:MARTIN COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:MARTIN COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MS
Authorized Official - First Name:DENA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-298-3572
Mailing Address - Street 1:PO BOX 366
Mailing Address - Street 2:ROUTE 40 EAST
Mailing Address - City:INEZ
Mailing Address - State:KY
Mailing Address - Zip Code:41224-0366
Mailing Address - Country:US
Mailing Address - Phone:606-298-3572
Mailing Address - Fax:606-298-4427
Practice Address - Street 1:ROUTE 40 EAST
Practice Address - Street 2:
Practice Address - City:INEZ
Practice Address - State:KY
Practice Address - Zip Code:41224-0366
Practice Address - Country:US
Practice Address - Phone:606-298-3572
Practice Address - Fax:606-298-4427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21080015Medicaid