Crawford County Community School Corp

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CRAWFORD COUNTY COMMUNITY SCHOOL CORP

Practice address

5805 E Administration Rd
Marengo, IN 47140-8415

Phone

(812) 723-2089

NPI assigned

Oct 7, 2010

Last updated

Oct 7, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Eastridge

Title

Superintendent

Phone

(812) 723-2089

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1174833248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 E ADMINISTRATION RD",
            "city": "MARENGO",
            "state": "IN",
            "postal_code": "471408415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 E ADMINISTRATION RD",
            "city": "MARENGO",
            "state": "IN",
            "postal_code": "471408415",
            "telephone_number": "812-723-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD COUNTY COMMUNITY SCHOOL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "EASTRIDGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "812-723-2089"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100198100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penny Deon Amy, LSW
• Howard D Detweiler, N. P.
• Engleking RX Marengo LLC (Engleking Rx)
• Jefferson Street Holdings LLC (The Little Green Door)
• Deborah J. Reichenbach, MDIV, MA

• Local Education Agency (LEA) in Marengo, IN
• Providers in Marengo, IN by specialty
• Local Education Agency (LEA) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.