Provider Demographics
NPI:1588709638
Name:SOUTHWESTERN JEFFERSON COUNTY CONSOLIDATED SCHOOL CORPORATION
Entity type:Organization
Organization Name:SOUTHWESTERN JEFFERSON COUNTY CONSOLIDATED SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT TO THE SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:BOLDERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-866-6253
Mailing Address - Street 1:239 S MAIN CROSS ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:IN
Mailing Address - Zip Code:47243-9309
Mailing Address - Country:US
Mailing Address - Phone:812-866-6253
Mailing Address - Fax:812-866-6256
Practice Address - Street 1:239 S MAIN CROSS ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:IN
Practice Address - Zip Code:47243-9309
Practice Address - Country:US
Practice Address - Phone:812-866-6253
Practice Address - Fax:812-866-6256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)