Provider Demographics
NPI:1669611943
Name:PLAIN LOCAL SCHOOLS
Entity type:Organization
Organization Name:PLAIN LOCAL SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-492-3500
Mailing Address - Street 1:901 44TH ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-1611
Mailing Address - Country:US
Mailing Address - Phone:330-492-3500
Mailing Address - Fax:330-493-5542
Practice Address - Street 1:901 44TH ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-1611
Practice Address - Country:US
Practice Address - Phone:330-492-3500
Practice Address - Fax:330-493-5542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0901699Medicaid