Provider Demographics
NPI:1699808311
Name:SOUTHERN LOCAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:SOUTHERN LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-721-0527
Mailing Address - Street 1:10397 STATE ROUTE 155 SE
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:OH
Mailing Address - Zip Code:43730
Mailing Address - Country:US
Mailing Address - Phone:740-394-2402
Mailing Address - Fax:
Practice Address - Street 1:10397 STATE ROUTE 155 SE
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:OH
Practice Address - Zip Code:43730
Practice Address - Country:US
Practice Address - Phone:330-854-2291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)