Provider Demographics
NPI:1194877787
Name:CARTER COUNTY BOARD OF EDUCATION
Entity type:Organization
Organization Name:CARTER COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:DOWD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-474-2007
Mailing Address - Street 1:228 S CAROL MALONE BLVD
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:KY
Mailing Address - Zip Code:41143-1354
Mailing Address - Country:US
Mailing Address - Phone:606-474-6696
Mailing Address - Fax:606-474-6125
Practice Address - Street 1:228 S CAROL MALONE BLVD
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:KY
Practice Address - Zip Code:41143-1354
Practice Address - Country:US
Practice Address - Phone:606-474-6696
Practice Address - Fax:606-474-6125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21022017Medicaid