MEDICARE: PRINCETON 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	:	1346449345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRINCETON CITY SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	25 W SHARON RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-4322
Country	:	US
Telephone Number	:	513-771-8560
Fax Number	:	513-771-0456

Provider Business Practice Location Address
First Line	:	25 W SHARON RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-4322
Country	:	US
Telephone Number	:	513-771-8560
Fax Number	:	513-771-0456

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. AARON KEITH MACKEY
Credential	:	M. ED.
Telephone Number	:	513-771-8560

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	07/12/2007

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Directions to “PRINCETON CITY SCHOOL DISTRICT ” Practice Location

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