Provider Demographics
NPI:1639317571
Name:ATHENS-MEIGS EDUCATIONAL SERVICE CENTER
Entity Type:Organization
Organization Name:ATHENS-MEIGS EDUCATIONAL SERVICE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-992-4286
Mailing Address - Street 1:320 1/2 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:POMEROY
Mailing Address - State:OH
Mailing Address - Zip Code:45769-1023
Mailing Address - Country:US
Mailing Address - Phone:740-992-4286
Mailing Address - Fax:740-992-6291
Practice Address - Street 1:320 1/2 E MAIN ST
Practice Address - Street 2:
Practice Address - City:POMEROY
Practice Address - State:OH
Practice Address - Zip Code:45769-1023
Practice Address - Country:US
Practice Address - Phone:740-992-4286
Practice Address - Fax:740-992-6291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH135145251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)