Healthcare Provider Details

I. General information

NPI: 1881833572
Provider Name (Legal Business Name): NORTHWEST LOCAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2009
Last Update Date: 02/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MOHAWK DR
MC DERMOTT OH
45652-9000
US

IV. Provider business mailing address

800 MOHAWK DR
MC DERMOTT OH
45652-9000
US

V. Phone/Fax

Practice location:
  • Phone: 740-259-5558
  • Fax: 740-259-8560
Mailing address:
  • Phone: 740-259-5558
  • Fax: 740-259-8560

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: KAREN M MORROW
Title or Position: TREASURER
Credential:
Phone: 740-259-5558