Healthcare Provider Details

I. General information

NPI: 1417153495
Provider Name (Legal Business Name): CABELL COUNTY BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 5TH AVE
HUNTINGTON WV
25702-1436
US

IV. Provider business mailing address

2001 MCCOY RD
HUNTINGTON WV
25701-4937
US

V. Phone/Fax

Practice location:
  • Phone: 304-528-5000
  • Fax:
Mailing address:
  • Phone: 304-529-6205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. SANDY K NEAL
Title or Position: SECRETARY IV
Credential:
Phone: 304-529-6205