Provider Demographics
NPI:1780822965
Name:NORTHEASTERN LOCAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NORTHEASTERN LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ROACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-497-3461
Mailing Address - Street 1:5921 DOMERSVILLE RD
Mailing Address - Street 2:BOARD OF EDUCATION-FINANCE DEPT
Mailing Address - City:DEFIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:43512-9121
Mailing Address - Country:US
Mailing Address - Phone:419-497-3461
Mailing Address - Fax:419-497-3401
Practice Address - Street 1:5921 DOMERSVILLE RD
Practice Address - Street 2:
Practice Address - City:DEFIANCE
Practice Address - State:OH
Practice Address - Zip Code:43512-9121
Practice Address - Country:US
Practice Address - Phone:419-497-3461
Practice Address - Fax:419-497-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)