Provider Demographics
NPI:1932350758
Name:EDGEWOOD CITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:EDGEWOOD CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:STIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-867-4692
Mailing Address - Street 1:3500 BUSENBARK RD
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:OH
Mailing Address - Zip Code:45067-9566
Mailing Address - Country:US
Mailing Address - Phone:513-867-4692
Mailing Address - Fax:513-867-7570
Practice Address - Street 1:3500 BUSENBARK RD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:OH
Practice Address - Zip Code:45067-9566
Practice Address - Country:US
Practice Address - Phone:513-867-4692
Practice Address - Fax:513-867-7570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)