Provider Demographics
NPI:1679706642
Name:PARKWAY LOCAL SCHOOLS
Entity Type:Organization
Organization Name:PARKWAY LOCAL SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PUTHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-363-3045
Mailing Address - Street 1:400 BUCKEYE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45882-9267
Mailing Address - Country:US
Mailing Address - Phone:419-363-3045
Mailing Address - Fax:419-363-2595
Practice Address - Street 1:400 BUCKEYE ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:OH
Practice Address - Zip Code:45882-9267
Practice Address - Country:US
Practice Address - Phone:419-363-3045
Practice Address - Fax:419-363-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH251300000XMedicaid