Provider Demographics
NPI:1467667014
Name:SOUTHWEST PARKE COMMUNITY SCHOOL CORP
Entity type:Organization
Organization Name:SOUTHWEST PARKE COMMUNITY SCHOOL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:L
Authorized Official - Last Name:PEACOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-569-2073
Mailing Address - Street 1:4851 S COXVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MONTEZUMA
Mailing Address - State:IN
Mailing Address - Zip Code:47862-8039
Mailing Address - Country:US
Mailing Address - Phone:765-569-2073
Mailing Address - Fax:
Practice Address - Street 1:4851 S COXVILLE RD
Practice Address - Street 2:
Practice Address - City:MONTEZUMA
Practice Address - State:IN
Practice Address - Zip Code:47862-8039
Practice Address - Country:US
Practice Address - Phone:765-569-2073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)