Provider Demographics
NPI:1891846168
Name:JENNINGS COUNTY SCHOOLS
Entity type:Organization
Organization Name:JENNINGS COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:K
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-346-4483
Mailing Address - Street 1:34 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH VERNON
Mailing Address - State:IN
Mailing Address - Zip Code:47265-1706
Mailing Address - Country:US
Mailing Address - Phone:812-346-4483
Mailing Address - Fax:
Practice Address - Street 1:34 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH VERNON
Practice Address - State:IN
Practice Address - Zip Code:47265-1706
Practice Address - Country:US
Practice Address - Phone:812-346-4483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100098150AMedicaid