MEDICARE: GRAHAM LOCAL SCHOOLS

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	:	1568601128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAHAM LOCAL SCHOOLS

Provider Business Mailing Address
First Line	:	9915 W US HWY 36
Second Line	:
City	:	SAINT PARIS
State	:	OH
Zip	:	43072
Country	:	US
Telephone Number	:	937-663-4123
Fax Number	:

Provider Business Practice Location Address
First Line	:	9915 W US HWY 36
Second Line	:
City	:	SAINT PARIS
State	:	OH
Zip	:	43072
Country	:	US
Telephone Number	:	937-663-4123
Fax Number	:

Authorized Official
Title or Position	:	TREASURER
Name	:	KRISTINE PURTEE
Credential	:
Telephone Number	:	937-663-4123

Provider Enumeration Date	:	02/05/2009
Last Update Date	:	05/24/2024

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Directions to “GRAHAM LOCAL SCHOOLS ” Practice Location

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