Provider Demographics
NPI:1326398868
Name:THE BLOOMINGTON PROJECT SCHOOL
Entity Type:Organization
Organization Name:THE BLOOMINGTON PROJECT SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT/SCHOOL LEADER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIERSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-558-0041
Mailing Address - Street 1:349 S WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-3511
Mailing Address - Country:US
Mailing Address - Phone:812-558-0041
Mailing Address - Fax:812-334-5873
Practice Address - Street 1:349 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-3511
Practice Address - Country:US
Practice Address - Phone:812-558-0041
Practice Address - Fax:812-334-5873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)