Healthcare Provider Details

I. General information

NPI: 1467501510
Provider Name (Legal Business Name): HARRISON COUNTY BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 WEBSTER AVE
CYNTHIANA KY
41031-1647
US

IV. Provider business mailing address

308 WEBSTER AVE
CYNTHIANA KY
41031-1647
US

V. Phone/Fax

Practice location:
  • Phone: 859-234-7160
  • Fax: 859-234-0861
Mailing address:
  • Phone: 859-234-7160
  • Fax: 859-234-0861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateKY

VIII. Authorized Official

Name: BRAD G YEARSLEY
Title or Position: SPECIAL ED. DIRECTOR
Credential:
Phone: 859-234-7160