Active NPI
Providence Ind. Schools
- Local Education Agency (LEA)
- Providence, KY
National Provider Identifier
1376747519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- PROVIDENCE IND. SCHOOLS
- Practice address
- 302 W Main St
Providence, KY 42450-1140 - Phone
- (270) 667-7007
- Fax
- (270) 667-7606
- NPI assigned
- Jun 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Beisel
- Title
- Ky Dept. of Education
- Phone
- 27066770017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | KY | Primary |
Addresses
Primary practice location
302 W Main St
Providence, KY 42450-1140
Mailing address
302 W Main St
Providence, KY 42450-1140
Phone (270) 667-7007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21117015 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
302 W Main St
Providence, KY 42450
Phone (270) 667-7007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376747519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 W MAIN ST",
"city": "PROVIDENCE",
"state": "KY",
"postal_code": "424501140",
"telephone_number": "270-667-7007",
"fax_number": "270-667-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W MAIN ST",
"city": "PROVIDENCE",
"state": "KY",
"postal_code": "424501140",
"telephone_number": "270-667-7007",
"fax_number": "270-667-7606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE IND. SCHOOLS",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BEISEL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "KY DEPT. OF EDUCATION",
"authorized_official_telephone_number": "27066770017",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21117015",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.