Provider Demographics
NPI:1891935953
Name:GRANT COUNTY BOARD OF EDUCATION
Entity type:Organization
Organization Name:GRANT COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:LIVINGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-824-3323
Mailing Address - Street 1:820 ARNIE RISEN BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:41097-9459
Mailing Address - Country:US
Mailing Address - Phone:859-824-3323
Mailing Address - Fax:859-824-3508
Practice Address - Street 1:820 ARNIE RISEN BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:KY
Practice Address - Zip Code:41097-9459
Practice Address - Country:US
Practice Address - Phone:859-824-3323
Practice Address - Fax:859-824-3508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY=========Medicaid