Provider Demographics
NPI:1134339724
Name:ONTARIO LOCAL SCHOOLS
Entity type:Organization
Organization Name:ONTARIO LOCAL SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:K
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-747-7166
Mailing Address - Street 1:457 SHELBY ONTARIO ROAD
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OH
Mailing Address - Zip Code:44906-1029
Mailing Address - Country:US
Mailing Address - Phone:419-747-4311
Mailing Address - Fax:419-747-6859
Practice Address - Street 1:457 SHELBY ONTARIO ROAD
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OH
Practice Address - Zip Code:44906-1029
Practice Address - Country:US
Practice Address - Phone:419-747-4311
Practice Address - Fax:419-747-6859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2888059Medicaid