Provider Demographics
NPI:1730328519
Name:BLOOMFIELD-MESPO LOCAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:BLOOMFIELD-MESPO LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUGHERTY
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:440-685-4722
Mailing Address - Street 1:2077 PARK WEST RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BLOOMFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44450-9702
Mailing Address - Country:US
Mailing Address - Phone:440-685-4722
Mailing Address - Fax:440-685-4751
Practice Address - Street 1:2077 PARK WEST RD
Practice Address - Street 2:
Practice Address - City:NORTH BLOOMFIELD
Practice Address - State:OH
Practice Address - Zip Code:44450-9702
Practice Address - Country:US
Practice Address - Phone:440-685-4722
Practice Address - Fax:440-685-4751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)