Healthcare Provider Details

I. General information

NPI: 1184838682
Provider Name (Legal Business Name): HARDIN COUNTY BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 GUINN ST
SAVANNAH TN
38372-2025
US

IV. Provider business mailing address

155 GUINN ST
SAVANNAH TN
38372-2025
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number StateTN

VIII. Authorized Official

Name: MRS. KAREN WHITLOW TALLEY
Title or Position: SPECIAL EDUCATION SUPERVISOR
Credential:
Phone: 731-925-3943