MEDICARE: ANCHORAGE IND. SCHOOLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		KY

General Provider Information

NPI Number	:	1043477789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHORAGE IND. SCHOOLS

Provider Business Mailing Address
First Line	:	11400 RIDGE RD
Second Line	:
City	:	ANCHORAGE
State	:	KY
Zip	:	40223-2444
Country	:	US
Telephone Number	:	502-245-8927
Fax Number	:	502-245-2124

Provider Business Practice Location Address
First Line	:	11400 RIDGE RD
Second Line	:
City	:	ANCHORAGE
State	:	KY
Zip	:	40223-2444
Country	:	US
Telephone Number	:	502-245-8927
Fax Number	:	502-245-2124

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. DON CRAVENS
Credential	:
Telephone Number	:	502-245-8927

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	06/21/2018

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