Active NPI
Goodwill Education Initiatives Incorporated
- Local Education Agency (LEA)
- Indianapolis, IN
National Provider Identifier
1205046869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- GOODWILL EDUCATION INITIATIVES INCORPORATED
- Practice address
- 1635 West Michigan Street
Indianapolis, IN 46222-4388 - Phone
- (317) 524-4638
- Fax
- (317) 524-4002
- NPI assigned
- May 23, 2007
- Last updated
- Jul 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory D McClure, DIRECTOR
- Title
- Special Education Director
- Phone
- (317) 524-4043
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | NU | Primary |
Addresses
Primary practice location
1635 West Michigan Street
Indianapolis, IN 46222-4388
Mailing address
1635 West Michigan Street
Indianapolis, IN 46222-4388
Phone (317) 524-4638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01177037020002 | Other | IN | INDIANA TAXPAYER ID |
Other names 1
- Indianapolis Metropolitan High School
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1205046869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 WEST MICHIGAN STREET",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462224388",
"telephone_number": "317-524-4638",
"fax_number": "317-524-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 WEST MICHIGAN STREET",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462224388",
"telephone_number": "317-524-4638",
"fax_number": "317-524-4002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODWILL EDUCATION INITIATIVES INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "MCCLURE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SPECIAL EDUCATION DIRECTOR",
"authorized_official_telephone_number": "317-524-4043",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DIRECTOR"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA TAXPAYER ID",
"identifier": "01177037020002",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Indianapolis Metropolitan High School",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.