Provider Demographics
NPI:1164844148
Name:TRECA DIGITAL ACADEMY
Entity Type:Organization
Organization Name:TRECA DIGITAL ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-389-4798
Mailing Address - Street 1:100 EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6306
Mailing Address - Country:US
Mailing Address - Phone:740-389-4798
Mailing Address - Fax:740-389-4517
Practice Address - Street 1:100 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6306
Practice Address - Country:US
Practice Address - Phone:740-389-4798
Practice Address - Fax:740-389-4517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)