Provider Demographics
NPI:1093953671
Name:HUNTINGTON LOCAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:HUNTINGTON LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-663-5892
Mailing Address - Street 1:188 HUNTSMAN RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9378
Mailing Address - Country:US
Mailing Address - Phone:740-663-5892
Mailing Address - Fax:740-663-6078
Practice Address - Street 1:188 HUNTSMAN RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9378
Practice Address - Country:US
Practice Address - Phone:740-663-5892
Practice Address - Fax:740-663-6078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH049502Medicaid