Provider Demographics
NPI:1386774743
Name:CRITTENDEN COUNTY SCHOOLS
Entity type:Organization
Organization Name:CRITTENDEN COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-965-3525
Mailing Address - Street 1:601 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:KY
Mailing Address - Zip Code:42064-1576
Mailing Address - Country:US
Mailing Address - Phone:270-965-3525
Mailing Address - Fax:270-965-9064
Practice Address - Street 1:601 W ELM ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:KY
Practice Address - Zip Code:42064-1576
Practice Address - Country:US
Practice Address - Phone:270-965-3525
Practice Address - Fax:270-965-9064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
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
KY21028014Medicaid