Provider Demographics
NPI:1194261800
Name:SOUTH HARRISON COMMUNITY SCHOOL CORPORATION
Entity type:Organization
Organization Name:SOUTH HARRISON COMMUNITY SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:EASTRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:812-738-2168
Mailing Address - Street 1:315 S HARRISON DR
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-1729
Mailing Address - Country:US
Mailing Address - Phone:812-738-2168
Mailing Address - Fax:812-738-2168
Practice Address - Street 1:315 S HARRISON DR
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-1729
Practice Address - Country:US
Practice Address - Phone:812-738-2168
Practice Address - Fax:812-738-2168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)