Provider Demographics
NPI:1548847346
Name:KCTCS FOUNDATION INC.
Entity type:Organization
Organization Name:KCTCS FOUNDATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-487-3100
Mailing Address - Street 1:1 COMMUNITY COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-2403
Mailing Address - Country:US
Mailing Address - Phone:606-438-4282
Mailing Address - Fax:
Practice Address - Street 1:1 COMMUNITY CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701
Practice Address - Country:US
Practice Address - Phone:606-438-4282
Practice Address - Fax:606-487-3607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health