=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386884971
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PYMATUNING VALLEY LOCAL SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/23/2009
-----------------------------------------------------
Last Update Date | 02/23/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5571 US ROUTE 6
-----------------------------------------------------
City | ANDOVER
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44003-9790
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-293-6488
-----------------------------------------------------
Fax | 440-293-7654
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5571 US ROUTE 6 BOARD OF EDUCATION-FINANCE DEPT
-----------------------------------------------------
City | ANDOVER
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44003-9790
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-293-6488
-----------------------------------------------------
Fax | 440-293-7654
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | TREASURER
-----------------------------------------------------
Name | PATRICIA SMITH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 440-293-6488
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------