Healthcare Provider Details

I. General information

NPI: 1952541492
Provider Name (Legal Business Name): GAHANNA-JEFFERSON PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 S HAMILTON RD
GAHANNA OH
43230-2919
US

IV. Provider business mailing address

160 S HAMILTON RD
GAHANNA OH
43230-2919
US

V. Phone/Fax

Practice location:
  • Phone: 614-471-7065
  • Fax:
Mailing address:
  • Phone: 614-471-7065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. STEVE BARRETT
Title or Position: SUPERINTENDENT
Credential:
Phone: 614-471-7065