Provider Demographics
NPI:1154643856
Name:ASHLAND COUNTY COMMUNITY ACADEMY
Entity Type:Organization
Organization Name:ASHLAND COUNTY COMMUNITY ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-903-0295
Mailing Address - Street 1:2011 BANEY RD S
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-4504
Mailing Address - Country:US
Mailing Address - Phone:419-903-0295
Mailing Address - Fax:419-903-0341
Practice Address - Street 1:2011 BANEY RD S
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-4504
Practice Address - Country:US
Practice Address - Phone:419-903-0295
Practice Address - Fax:419-903-0341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)