Provider Demographics
NPI:1457409229
Name:CLAY COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:CLAY COUNTY BOARD OF EDUCATION
Other - Org Name:CLAY COUNTY BOARD OF EDUCATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SEXTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-598-2168
Mailing Address - Street 1:128 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40962-1207
Mailing Address - Country:US
Mailing Address - Phone:606-598-2168
Mailing Address - Fax:606-598-7829
Practice Address - Street 1:128 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40962-1207
Practice Address - Country:US
Practice Address - Phone:606-598-2168
Practice Address - Fax:606-598-7829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY21026018251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21026018Medicaid