Healthcare Provider Details

I. General information

NPI: 1700104569
Provider Name (Legal Business Name): MONROEVILLE LOCAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 05/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WEST ST
MONROEVILLE OH
44847-9797
US

IV. Provider business mailing address

101 WEST ST BOARD OF EDUCATION-FINANCE DEPT
MONROEVILLE OH
44847-9797
US

V. Phone/Fax

Practice location:
  • Phone: 419-465-2610
  • Fax: 419-465-4263
Mailing address:
  • Phone: 419-465-2610
  • Fax: 419-465-4263

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: ELISE GRAY
Title or Position: TREASURER
Credential:
Phone: 419-465-2610