Provider Demographics
NPI:1457403289
Name:WOODFORD COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:WOODFORD COUNTY BOARD OF EDUCATION
Other - Org Name:WOODFORD COUNTY SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:WASSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-873-4701
Mailing Address - Street 1:330 PISGAH RD
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-9214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:859-873-1614
Practice Address - Street 1:330 PISGAH RD
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-9214
Practice Address - Country:US
Practice Address - Phone:859-873-4701
Practice Address - Fax:859-873-1614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY21000153251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21000153Medicaid