Healthcare Provider Details

I. General information

NPI: 1790099778
Provider Name (Legal Business Name): CATLETTSBURG ELEMENTARY SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2010
Last Update Date: 08/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3348 COURT ST
CATLETTSBURG KY
41129-1108
US

IV. Provider business mailing address

PO BOX 4069
ASHLAND KY
41105-4069
US

V. Phone/Fax

Practice location:
  • Phone: 606-739-5515
  • Fax:
Mailing address:
  • Phone: 606-329-9444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA C HARDY
Title or Position: PUBLIC HEALTH DIRECTOR
Credential: MSN, RN
Phone: 606-329-9444