MEDICARE: JEFFERSON AREA LOCAL SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1043527815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFERSON AREA LOCAL SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	121 S POPLAR ST
Second Line	:
City	:	JEFFERSON
State	:	OH
Zip	:	44047-1328
Country	:	US
Telephone Number	:	440-576-9180
Fax Number	:	440-576-9876

Provider Business Practice Location Address
First Line	:	121 S POPLAR ST
Second Line	:
City	:	JEFFERSON
State	:	OH
Zip	:	44047-1328
Country	:	US
Telephone Number	:	440-576-9180
Fax Number	:	440-576-9876

Authorized Official
Title or Position	:	TREASURER
Name	:	BRIAN OFFICE JEFFERSON ARE STEVENS
Credential	:
Telephone Number	:	440-576-9180

Provider Enumeration Date	:	09/01/2010
Last Update Date	:	05/13/2024

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