Provider Demographics
NPI:1740435742
Name:AMANDA-CLEARCREEK LOCAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:AMANDA-CLEARCREEK LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-969-7262
Mailing Address - Street 1:328 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AMANDA
Mailing Address - State:OH
Mailing Address - Zip Code:43102-9330
Mailing Address - Country:US
Mailing Address - Phone:740-969-7262
Mailing Address - Fax:740-969-7622
Practice Address - Street 1:328 E MAIN ST
Practice Address - Street 2:
Practice Address - City:AMANDA
Practice Address - State:OH
Practice Address - Zip Code:43102-9330
Practice Address - Country:US
Practice Address - Phone:740-969-7262
Practice Address - Fax:740-969-7622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)