Healthcare Provider Details

I. General information

NPI: 1720226764
Provider Name (Legal Business Name): CLEAR FORK VALLEY LOCAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2009
Last Update Date: 01/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 HINES AVE
BELLVILLE OH
44813-1232
US

IV. Provider business mailing address

92 HINES AVE
BELLVILLE OH
44813-1232
US

V. Phone/Fax

Practice location:
  • Phone: 419-886-3855
  • Fax: 419-886-2237
Mailing address:
  • Phone: 419-886-3855
  • Fax: 419-886-2237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL W FREUND
Title or Position: SUPERINTENDENT
Credential:
Phone: 419-886-3855