1669611323 NPI number — BRISTOL LOCAL SCHOOL

Table of content: (NPI 1669611323)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669611323 NPI number — BRISTOL LOCAL SCHOOL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRISTOL LOCAL SCHOOL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669611323
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 260
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRISTOLVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44402-0260
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-889-3053
Provider Business Mailing Address Fax Number:
330-889-2529

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1845 GREENVILLE RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRISTOLVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-889-3053
Provider Business Practice Location Address Fax Number:
330-889-2529
Provider Enumeration Date:
02/19/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MCPEAK
Authorized Official First Name:
NANCY
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
TREASURER
Authorized Official Telephone Number:
330-889-3053

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)