MEDICARE: NORTHWEST 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	:	1881833572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST LOCAL SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	800 MOHAWK DR
Second Line	:
City	:	MC DERMOTT
State	:	OH
Zip	:	45652-9000
Country	:	US
Telephone Number	:	740-259-5558
Fax Number	:	740-259-8560

Provider Business Practice Location Address
First Line	:	800 MOHAWK DR
Second Line	:
City	:	MC DERMOTT
State	:	OH
Zip	:	45652-9000
Country	:	US
Telephone Number	:	740-259-5558
Fax Number	:	740-259-8560

Authorized Official
Title or Position	:	TREASURER
Name	:	KAREN M MORROW
Credential	:
Telephone Number	:	740-259-5558

Provider Enumeration Date	:	02/19/2009
Last Update Date	:	02/19/2009

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Practice Location Address:

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