Healthcare Provider Details

I. General information

NPI: 1487789558
Provider Name (Legal Business Name): HARDIN COUNTY BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 W A JENKINS RD
ELIZABETHTOWN KY
42701-8452
US

IV. Provider business mailing address

114 S MULBERRY ST
ELIZABETHTOWN KY
42701-1429
US

V. Phone/Fax

Practice location:
  • Phone: 270-769-8800
  • Fax:
Mailing address:
  • Phone: 270-769-8841
  • Fax: 270-706-8000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateKY

VIII. Authorized Official

Name: MRS. NANNETTE JOHNSTON
Title or Position: INTERIM SUPERINTENDENT
Credential:
Phone: 270-769-8800