Healthcare Provider Details

I. General information

NPI: 1386915460
Provider Name (Legal Business Name): HARDIN COUNTY BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2012
Last Update Date: 01/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 GUINN ST
SAVANNAH TN
38372-2025
US

IV. Provider business mailing address

PO BOX 8114
CHATTANOOGA TN
37414-0114
US

V. Phone/Fax

Practice location:
  • Phone: 731-925-3943
  • Fax:
Mailing address:
  • Phone: 423-622-1551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KAREN TALLEY
Title or Position: SPECIAL ED DIRECTOR
Credential:
Phone: 423-622-1551