Provider Demographics
NPI:1134369796
Name:BROOKVILLE LOCAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:BROOKVILLE LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-833-2181
Mailing Address - Street 1:325 SIMMONS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45309-1636
Mailing Address - Country:US
Mailing Address - Phone:937-833-2181
Mailing Address - Fax:937-833-2787
Practice Address - Street 1:325 SIMMONS AVE
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:OH
Practice Address - Zip Code:45309-1636
Practice Address - Country:US
Practice Address - Phone:937-833-2181
Practice Address - Fax:937-833-2787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)