Provider Demographics
NPI:1992135024
Name:GLASGOW IND. BOARD OF EDUCATION
Entity type:Organization
Organization Name:GLASGOW IND. BOARD OF EDUCATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:D. SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-651-6757
Mailing Address - Street 1:629 W CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-1513
Mailing Address - Country:US
Mailing Address - Phone:270-651-6757
Mailing Address - Fax:270-651-9791
Practice Address - Street 1:629 W CHERRY ST
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-1513
Practice Address - Country:US
Practice Address - Phone:270-651-6757
Practice Address - Fax:270-651-9791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
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