Provider Demographics
NPI:1538308788
Name:PREBLE SHAWNEE LOCAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PREBLE SHAWNEE LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:MOLLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-452-1284
Mailing Address - Street 1:124 BLOOMFIELD ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:OH
Mailing Address - Zip Code:45311-1154
Mailing Address - Country:US
Mailing Address - Phone:937-452-1284
Mailing Address - Fax:937-452-3926
Practice Address - Street 1:124 BLOOMFIELD ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:OH
Practice Address - Zip Code:45311-1154
Practice Address - Country:US
Practice Address - Phone:937-452-1284
Practice Address - Fax:937-452-3926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)