1316282155 NPI number — WICKLIFFE BOARD OF EDUCATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316282155 NPI number — WICKLIFFE BOARD OF EDUCATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WICKLIFFE BOARD OF EDUCATION
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:
WICKLIFFE CITY SCHOOL DISTRICT
Provider Other Organization Name Type Code:
3
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:
1316282155
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2221 ROCKEFELLER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WICKLIFFE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44092-2020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
440-943-6900
Provider Business Mailing Address Fax Number:
440-943-7738

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2221 ROCKEFELLER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WICKLIFFE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44092-2020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-943-6900
Provider Business Practice Location Address Fax Number:
440-943-7738
Provider Enumeration Date:
12/05/2012

Additional Information

Authorized Official

Authorized Official Last Name:
HAFFEY
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
TREASURER/CFO
Authorized Official Telephone Number:
440-943-7735

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)





Copyright © 2007-2024 www.npivalidator.com