MEDICARE: NORTH CENTRAL OHIO EDUCATIONAL SERVICE CENTER

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)

General Provider Information

NPI Number	:	1174725840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH CENTRAL OHIO EDUCATIONAL SERVICE CENTER

Provider Business Mailing Address
First Line	:	65 SAINT FRANCIS AVE
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-3413
Country	:	US
Telephone Number	:	419-447-2927
Fax Number	:	419-443-7929

Provider Business Practice Location Address
First Line	:	65 SAINT FRANCIS AVE
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-3413
Country	:	US
Telephone Number	:	419-447-2927
Fax Number	:	419-443-7929

Authorized Official
Title or Position	:	TREASURER
Name	:	MARY HAY
Credential	:
Telephone Number	:	419-447-2927

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	08/22/2020

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