Provider Demographics
NPI:1215130133
Name:CENTER GROVE COMMUNITY SCHOOL CORPORATION
Entity type:Organization
Organization Name:CENTER GROVE COMMUNITY SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:GABRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-881-9326
Mailing Address - Street 1:2929 S MORGANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GREENTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46143-9100
Mailing Address - Country:US
Mailing Address - Phone:317-881-9326
Mailing Address - Fax:
Practice Address - Street 1:2929 S MORGANTOWN RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-8537
Practice Address - Country:US
Practice Address - Phone:317-881-9326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)