=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891935953
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GRANT COUNTY BOARD OF EDUCATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/03/2009
-----------------------------------------------------
Last Update Date | 03/03/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 820 ARNIE RISEN BLVD
-----------------------------------------------------
City | WILLIAMSTOWN
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41097-9459
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-824-3323
-----------------------------------------------------
Fax | 859-824-3508
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 820 ARNIE RISEN BLVD
-----------------------------------------------------
City | WILLIAMSTOWN
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41097-9459
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-824-3323
-----------------------------------------------------
Fax | 859-824-3508
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERINTENDENT
-----------------------------------------------------
Name | MR. RONALD GENE LIVINGOOD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 859-824-3323
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------