=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942367909
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PERRY COUNTY SCHOOLS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/02/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 315 PARK AVE
-----------------------------------------------------
City | HAZARD
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41701-9548
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-439-5813
-----------------------------------------------------
Fax | 606-439-2512
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 315 PARK AVE
-----------------------------------------------------
City | HAZARD
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41701-9548
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-439-5813
-----------------------------------------------------
Fax | 606-439-2512
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DEPUTY SUPERINTENDENT
-----------------------------------------------------
Name | MR. DOUGLAS J. CAMPBELL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 606-439-5813
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------