Provider Demographics
NPI:1114055639
Name:EAST MUSKINGUM LOCAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:EAST MUSKINGUM LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:HEAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:740-826-7655
Mailing Address - Street 1:13505 JOHN GLENN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:NEW CONCORD
Mailing Address - State:OH
Mailing Address - Zip Code:43762-9702
Mailing Address - Country:US
Mailing Address - Phone:740-826-7655
Mailing Address - Fax:740-826-7194
Practice Address - Street 1:13505 JOHN GLENN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:NEW CONCORD
Practice Address - State:OH
Practice Address - Zip Code:43762-9702
Practice Address - Country:US
Practice Address - Phone:740-826-7655
Practice Address - Fax:740-826-7194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)