Provider Demographics
NPI:1306979992
Name:JACKSON COUNTY SCHOOLS
Entity type:Organization
Organization Name:JACKSON COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLIS
Authorized Official - Middle Name:MIKE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-287-7181
Mailing Address - Street 1:P.O. BOX 217
Mailing Address - Street 2:
Mailing Address - City:MCKEE
Mailing Address - State:KY
Mailing Address - Zip Code:40447
Mailing Address - Country:US
Mailing Address - Phone:606-287-7181
Mailing Address - Fax:606-287-8469
Practice Address - Street 1:526 MAIN STREET S.
Practice Address - Street 2:
Practice Address - City:MCKEE
Practice Address - State:KY
Practice Address - Zip Code:40447
Practice Address - Country:US
Practice Address - Phone:606-287-7181
Practice Address - Fax:606-287-8469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21000377Medicaid