Healthcare Provider Details

I. General information

NPI: 1972704534
Provider Name (Legal Business Name): DANVILLE LOCAL SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 09/13/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 S. RICHARDS STREET
DANVILLE OH
43014-9859
US

IV. Provider business mailing address

PO BOX 30
DANVILLE OH
43014-9859
US

V. Phone/Fax

Practice location:
  • Phone: 740-599-6116
  • Fax: 740-599-5418
Mailing address:
  • Phone: 740-599-6116
  • Fax: 740-599-5418

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: TONYA MICKLEY
Title or Position: TREASURER
Credential:
Phone: 740-599-6116