Basic Information
| Provider Information | |||||||||
| NPI: | 1184864415 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | EAST CLINTON LOCAL SCHOOL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 97 ASTRO WAY | ||||||||
| Address2: | |||||||||
| City: | SABINA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9375842461 | ||||||||
| FaxNumber: | 9375842817 | ||||||||
| Practice Location | |||||||||
| Address1: | 97 ASTRO WAY | ||||||||
| Address2: | |||||||||
| City: | SABINA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9375842461 | ||||||||
| FaxNumber: | 9375842817 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2009 | ||||||||
| LastUpdateDate: | 01/30/2015 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | STANLEY | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | B | ||||||||
| AuthorizedOfficialTitleorPosition: | TREASURER/CFO | ||||||||
| AuthorizedOfficialTelephone: | 9375842461 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251300000X | Y | Agencies | Local Education Agency (LEA) |
No ID Information.