Provider Demographics
NPI:1366858441
Name:INDIAN VALLEY LOCAL SCHOOLS
Entity Type:Organization
Organization Name:INDIAN VALLEY LOCAL SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:G.
Authorized Official - Middle Name:IRA
Authorized Official - Last Name:WENTWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-254-4334
Mailing Address - Street 1:PO BOX 171
Mailing Address - Street 2:100 N. WALNUT ST.
Mailing Address - City:GNADENHUTTEN
Mailing Address - State:OH
Mailing Address - Zip Code:44629
Mailing Address - Country:US
Mailing Address - Phone:740-254-4334
Mailing Address - Fax:740-254-9271
Practice Address - Street 1:100 N. WALNUT ST.
Practice Address - Street 2:
Practice Address - City:GNADENHUTTEN
Practice Address - State:OH
Practice Address - Zip Code:44629
Practice Address - Country:US
Practice Address - Phone:740-254-4334
Practice Address - Fax:740-254-9271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)