Provider Demographics
NPI:1508047564
Name:DEER PARK CITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DEER PARK CITY SCHOOL DISTRICT
Other - Org Name:DEER PARK CITY BOARD OF EDUCATION
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-891-0222
Mailing Address - Street 1:8688 DONNA LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-1720
Mailing Address - Country:US
Mailing Address - Phone:513-891-0222
Mailing Address - Fax:
Practice Address - Street 1:8688 DONNA LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-1720
Practice Address - Country:US
Practice Address - Phone:513-891-0222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0158341Medicaid