Healthcare Provider Details

I. General information

NPI: 1790992568
Provider Name (Legal Business Name): SOUTH POINT LOCAL SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 03/06/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 HIGH ST
SOUTH POINT OH
45680
US

IV. Provider business mailing address

302 HIGH ST
SOUTH POINT OH
45680
US

V. Phone/Fax

Practice location:
  • Phone: 740-377-4315
  • Fax: 740-377-9735
Mailing address:
  • Phone: 740-377-4315
  • Fax: 740-377-9735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: LEE ELLIOTT
Title or Position: TREASURER
Credential:
Phone: 740-377-9177