MSD of Boone Township

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MSD OF BOONE TOWNSHIP

Practice address

307 S Main St
Hebron, IN 46341-8909

Phone

(219) 996-4771

Fax

(219) 996-4771

NPI assigned

Jan 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nathan H Kleefisch, PHD

Title

Superintendent

Phone

(219) 996-4771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1760928477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S MAIN ST",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463418909",
            "telephone_number": "219-996-4771",
            "fax_number": "219-996-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S MAIN ST",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463418909",
            "telephone_number": "219-996-4771",
            "fax_number": "219-996-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSD OF BOONE TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "KLEEFISCH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "219-996-4771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Hebron, IN
• Providers in Hebron, 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 Jan 19, 2017; 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.