Provider Demographics
NPI:1235321035
Name:MILL CREEK COMMUNITY SCHOOL CORPORATION
Entity Type:Organization
Organization Name:MILL CREEK COMMUNITY SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-539-9200
Mailing Address - Street 1:6631 S COUNTY ROAD 200 W
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:IN
Mailing Address - Zip Code:46118-8904
Mailing Address - Country:US
Mailing Address - Phone:317-539-9200
Mailing Address - Fax:317-539-9215
Practice Address - Street 1:6631 S COUNTY ROAD 200 W
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:IN
Practice Address - Zip Code:46118-8904
Practice Address - Country:US
Practice Address - Phone:317-539-9200
Practice Address - Fax:317-539-9215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)