Provider Demographics
NPI:1568600153
Name:SCIOTO VALLEY LOCAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SCIOTO VALLEY LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-289-4456
Mailing Address - Street 1:1414 PIKETON RD
Mailing Address - Street 2:
Mailing Address - City:PIKETON
Mailing Address - State:OH
Mailing Address - Zip Code:45661-9801
Mailing Address - Country:US
Mailing Address - Phone:740-289-4456
Mailing Address - Fax:740-289-3065
Practice Address - Street 1:1414 PIKETON RD
Practice Address - Street 2:
Practice Address - City:PIKETON
Practice Address - State:OH
Practice Address - Zip Code:45661-9801
Practice Address - Country:US
Practice Address - Phone:740-289-4456
Practice Address - Fax:740-289-3065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH049130Medicaid