MEDICARE: OSNABURG LOCAL SCHOOL

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	:	1316138415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSNABURG LOCAL SCHOOL

Provider Business Mailing Address
First Line	:	310 BROWNING CT N
Second Line	:
City	:	EAST CANTON
State	:	OH
Zip	:	44730-1248
Country	:	US
Telephone Number	:	330-488-1427
Fax Number	:	330-488-4001

Provider Business Practice Location Address
First Line	:	310 BROWNING CT N
Second Line	:
City	:	EAST CANTON
State	:	OH
Zip	:	44730-1248
Country	:	US
Telephone Number	:	330-488-1427
Fax Number	:	330-488-4001

Authorized Official
Title or Position	:	TREASURER
Name	:	MRS. CHRISTINE M ROBENSTINE
Credential	:
Telephone Number	:	330-488-1427

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	08/05/2007

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