Provider Demographics
NPI:1386980571
Name:TAYLOR COMMUNITY SCHOOL CORPORATION
Entity type:Organization
Organization Name:TAYLOR COMMUNITY SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-453-3035
Mailing Address - Street 1:3750 E 300 S
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-9507
Mailing Address - Country:US
Mailing Address - Phone:765-453-3035
Mailing Address - Fax:765-455-8531
Practice Address - Street 1:3750 E 300 S
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-9507
Practice Address - Country:US
Practice Address - Phone:765-453-3035
Practice Address - Fax:765-455-8531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN100199060 A251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100199060 AMedicaid