Provider Demographics
NPI:1962696492
Name:SUMMITACADEMYCOMMUNITYSCHOOL-MIDDLETOWN
Entity type:Organization
Organization Name:SUMMITACADEMYCOMMUNITYSCHOOL-MIDDLETOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOSKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-670-8470
Mailing Address - Street 1:4700 CENTRAL AVENUE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044
Mailing Address - Country:US
Mailing Address - Phone:330-836-6200
Mailing Address - Fax:330-836-8216
Practice Address - Street 1:4700 CENTRAL AVENUE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044
Practice Address - Country:US
Practice Address - Phone:513-422-8540
Practice Address - Fax:330-836-8216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)