Provider Demographics
NPI:1235267048
Name:BRIDGEPORT EXEMPTED VILLAGE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BRIDGEPORT EXEMPTED VILLAGE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-635-1713
Mailing Address - Street 1:55781 NATIONAL ROAD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43912-1516
Mailing Address - Country:US
Mailing Address - Phone:740-635-1713
Mailing Address - Fax:740-635-6003
Practice Address - Street 1:55707 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:OH
Practice Address - Zip Code:43912-1516
Practice Address - Country:US
Practice Address - Phone:740-635-0853
Practice Address - Fax:740-635-6008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)