Provider Demographics
NPI:1447387261
Name:SHADYSIDE LOCAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SHADYSIDE LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:K
Authorized Official - Last Name:VISNIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-676-3124
Mailing Address - Street 1:3890 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:SHADYSIDE
Mailing Address - State:OH
Mailing Address - Zip Code:43947-1319
Mailing Address - Country:US
Mailing Address - Phone:740-676-3124
Mailing Address - Fax:740-676-6616
Practice Address - Street 1:3890 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:SHADYSIDE
Practice Address - State:OH
Practice Address - Zip Code:43947-1319
Practice Address - Country:US
Practice Address - Phone:740-676-3124
Practice Address - Fax:740-676-6616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)