Organization
CLARK COUNTY EDUCATIONAL SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PHILLIP CALLAND (TREASURER)
(937) 325-7671
Entity
Organization
Contact information
Practice address
30 WARDER ST., SUITE 120, SPRINGFIELD, OH 45504-2580
(937) 325-7671
(937) 325-9915
Mailing address
30 WARDER ST., SUITE 120, SPRINGFIELD, OH 45504-2580
(937) 325-7671
(937) 325-9915
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0902232
—
OH
Enumeration date
10/03/2006
Last updated
08/22/2020
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