Provider Demographics
NPI:1053690909
Name:OTSEGO LOCAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:OTSEGO LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-823-4381
Mailing Address - Street 1:PO BOX 290
Mailing Address - Street 2:
Mailing Address - City:TONTOGANY
Mailing Address - State:OH
Mailing Address - Zip Code:43565-0290
Mailing Address - Country:US
Mailing Address - Phone:419-823-4381
Mailing Address - Fax:419-823-3035
Practice Address - Street 1:18505 TONTOGANY CREEK
Practice Address - Street 2:
Practice Address - City:TONTOGANY
Practice Address - State:OH
Practice Address - Zip Code:43565-0290
Practice Address - Country:US
Practice Address - Phone:419-823-4381
Practice Address - Fax:419-823-3035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)