Provider Demographics
NPI:1225423999
Name:NORTHWESTERN CONSOL SCHOOL DIST OF SHELBY COUNTY
Entity Type:Organization
Organization Name:NORTHWESTERN CONSOL SCHOOL DIST OF SHELBY COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-835-7461
Mailing Address - Street 1:4920 W 600 N
Mailing Address - Street 2:
Mailing Address - City:FAIRLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46126-9464
Mailing Address - Country:US
Mailing Address - Phone:317-835-7461
Mailing Address - Fax:
Practice Address - Street 1:4920 W 600 N
Practice Address - Street 2:
Practice Address - City:FAIRLAND
Practice Address - State:IN
Practice Address - Zip Code:46126-9464
Practice Address - Country:US
Practice Address - Phone:317-835-7461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)