MEDICARE: MT HEALTHY CITY 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	:	1134393960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MT HEALTHY CITY SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	7615 HARRISON AVE
Second Line	:	BOARD OF EDUCATION - FINANCE DEPT
City	:	CINCINNATI
State	:	OH
Zip	:	45231-3107
Country	:	US
Telephone Number	:	513-729-0077
Fax Number	:	513-728-4692

Provider Business Practice Location Address
First Line	:	7615 HARRISON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-3107
Country	:	US
Telephone Number	:	513-729-0077
Fax Number	:	513-728-4692

Authorized Official
Title or Position	:	DIRECTOR OF SPECIAL SERVICES
Name	:	SUSAN HEITNER
Credential	:
Telephone Number	:	513-728-4444

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	04/14/2008

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