Provider Demographics
NPI:1689812588
Name:MARTINS FERRY CITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MARTINS FERRY CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SKULICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-633-1732
Mailing Address - Street 1:5001 AYERS LIME STONE RD
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1588
Mailing Address - Country:US
Mailing Address - Phone:740-633-1732
Mailing Address - Fax:740-633-5666
Practice Address - Street 1:5001 AYERS LIME STONE RD
Practice Address - Street 2:
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1588
Practice Address - Country:US
Practice Address - Phone:740-633-1732
Practice Address - Fax:740-633-5666
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
OH251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH896991Medicaid