MEDICARE: METCALFE CO. 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	:	1336329044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METCALFE CO. SCHOOLS

Provider Business Mailing Address
First Line	:	1007 WEST STOCKTON STREET
Second Line	:
City	:	EDMONTON
State	:	KY
Zip	:	42129
Country	:	US
Telephone Number	:	270-432-3171
Fax Number	:	270-432-3170

Provider Business Practice Location Address
First Line	:	1007 WEST STOCKTON STREET
Second Line	:
City	:	EDMONTON
State	:	KY
Zip	:	42129
Country	:	US
Telephone Number	:	270-432-3171
Fax Number	:	270-432-3170

Authorized Official
Title or Position	:	DIRECTOR OF SPECIAL SERVICES
Name	:	MRS. KIMBERLY F. HAWKINS
Credential	:
Telephone Number	:	270-432-3171

Provider Enumeration Date	:	11/09/2007
Last Update Date	:	09/16/2009

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