Organization Active NPI

Providence Ind. Schools

  • Local Education Agency (LEA)
  • Providence, KY
National Provider Identifier
1376747519
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
21117015MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.