MEDICARE: EAST KNOX 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	:	1992902241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST KNOX LOCAL SCHOOLS

Provider Business Mailing Address
First Line	:	23201 COSHOCTON RD
Second Line	:
City	:	HOWARD
State	:	OH
Zip	:	43028
Country	:	US
Telephone Number	:	740-599-7493
Fax Number	:	740-599-5863

Provider Business Practice Location Address
First Line	:	23201 COSHOCTON RD
Second Line	:
City	:	HOWARD
State	:	OH
Zip	:	43028
Country	:	US
Telephone Number	:	740-599-7493
Fax Number	:	740-599-5863

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DR. JOHN MARSCHHAUSEN
Credential	:
Telephone Number	:	740-599-7493

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	08/22/2020

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