Provider Demographics
NPI:1225457104
Name:HANOVER COMMUNITY SCHOOL CORPORATION
Entity Type:Organization
Organization Name:HANOVER COMMUNITY SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS SERVICES/TREAS
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:KURTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:219-374-3504
Mailing Address - Street 1:9520 W 133RD AVE
Mailing Address - Street 2:PO BOX 645
Mailing Address - City:CEDAR LAKE
Mailing Address - State:IN
Mailing Address - Zip Code:46303-8523
Mailing Address - Country:US
Mailing Address - Phone:219-374-3500
Mailing Address - Fax:219-374-4411
Practice Address - Street 1:9520 W 133RD AVE
Practice Address - Street 2:
Practice Address - City:CEDAR LAKE
Practice Address - State:IN
Practice Address - Zip Code:46303-8523
Practice Address - Country:US
Practice Address - Phone:219-374-3500
Practice Address - Fax:219-374-4411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN4580251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)