Provider Demographics
NPI:1073750980
Name:BLOOM-CARROLL LOCAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BLOOM-CARROLL LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:BIGAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-834-6707
Mailing Address - Street 1:5240 PLUM RD
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:OH
Mailing Address - Zip Code:43112-9716
Mailing Address - Country:US
Mailing Address - Phone:614-834-6707
Mailing Address - Fax:740-756-4221
Practice Address - Street 1:5240 PLUM RD
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:OH
Practice Address - Zip Code:43112-9716
Practice Address - Country:US
Practice Address - Phone:614-834-6707
Practice Address - Fax:740-756-4221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)