Provider Demographics
NPI:1164661047
Name:BRADFORD EXEMPTED VILLAGE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BRADFORD EXEMPTED VILLAGE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-448-2770
Mailing Address - Street 1:760 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45308-8605
Mailing Address - Country:US
Mailing Address - Phone:937-448-2770
Mailing Address - Fax:937-448-2493
Practice Address - Street 1:760 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:OH
Practice Address - Zip Code:45308-8605
Practice Address - Country:US
Practice Address - Phone:937-448-2770
Practice Address - Fax:937-448-2493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)