MSD of Shakamak

Organization Active NPI Local Education Agency (LEA) · Jasonville, IN

NPI 1124121173 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1124121173
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
MSD OF SHAKAMAK
Practice address
RR 2 Box 42
Jasonville, IN 47438-9511
Phone
(812) 665-3550
Fax
(812) 665-5001
NPI assigned
Sep 6, 2006
Organization subpart
No

Authorized official

Name
C G Epple
Title
Superintendent
Phone
(812) 665-3550

National Provider Directory

Locations

9233 Shakamak School Rd
Jasonville, IN 47438
Phone (812) 665-3550

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Yes

Addresses

Primary practice location

RR 2 Box 42
Jasonville, IN 47438-9511

Mailing address

RR 2 Box 42
Box 42
Jasonville, IN 47438-9511
Phone (812) 665-3550

Other providers in Jasonville, IN

All providers in Jasonville, IN · Local Education Agency (LEA) in Indiana

Sources for this page

Verify at the official NPI Registry.