Provider Demographics
NPI:1548401995
Name:FRONTIER LOCAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:FRONTIER LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:T
Authorized Official - Last Name:THACKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-865-3473
Mailing Address - Street 1:44870 STATE ROUTE 7
Mailing Address - Street 2:FRONTIER HIGH SCHOOL
Mailing Address - City:NEW MATAMORAS
Mailing Address - State:OH
Mailing Address - Zip Code:45767
Mailing Address - Country:US
Mailing Address - Phone:740-865-3473
Mailing Address - Fax:740-865-2010
Practice Address - Street 1:FRONTIER HIGH SCHOOL
Practice Address - Street 2:44870 STATE ROUTE 7
Practice Address - City:NEW MATAMORAS
Practice Address - State:OH
Practice Address - Zip Code:45767
Practice Address - Country:US
Practice Address - Phone:740-865-3473
Practice Address - Fax:740-865-2010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1548401995Medicaid