MEDICARE: HARDIN-HOUSTON LOCAL 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)

General Provider Information

NPI Number	:	1538306220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARDIN-HOUSTON LOCAL SCHOOLS

Provider Business Mailing Address
First Line	:	5300 HOUSTON RD
Second Line	:
City	:	HOUSTON
State	:	OH
Zip	:	45333-8630
Country	:	US
Telephone Number	:	937-295-3010
Fax Number	:	937-295-3737

Provider Business Practice Location Address
First Line	:	5300 HOUSTON RD
Second Line	:
City	:	HOUSTON
State	:	OH
Zip	:	45333-8630
Country	:	US
Telephone Number	:	937-295-3010
Fax Number	:	937-295-3737

Authorized Official
Title or Position	:	TREASURER
Name	:	BECKY JELLEY
Credential	:
Telephone Number	:	937-295-3010

Provider Enumeration Date	:	01/16/2009
Last Update Date	:	01/16/2009

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