Provider Demographics
NPI:1023256609
Name:ADENA LOCAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:ADENA LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:WARNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-998-4663
Mailing Address - Street 1:3367 COUNTY ROAD 550
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:OH
Mailing Address - Zip Code:45628-9503
Mailing Address - Country:US
Mailing Address - Phone:740-998-4633
Mailing Address - Fax:740-998-4632
Practice Address - Street 1:3367 COUNTY ROAD 550
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:OH
Practice Address - Zip Code:45628-9503
Practice Address - Country:US
Practice Address - Phone:740-998-4633
Practice Address - Fax:740-998-4632
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
OH049494Medicaid