Provider Demographics
NPI:1336295377
Name:NORTH MIAMI COMMUNITY SCHOOLS
Entity Type:Organization
Organization Name:NORTH MIAMI COMMUNITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-985-3891
Mailing Address - Street 1:304 E 900 N
Mailing Address - Street 2:PO BOX 218
Mailing Address - City:DENVER
Mailing Address - State:IN
Mailing Address - Zip Code:46926
Mailing Address - Country:US
Mailing Address - Phone:765-985-3891
Mailing Address - Fax:756-985-3904
Practice Address - Street 1:304 E 900 N
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:IN
Practice Address - Zip Code:46926
Practice Address - Country:US
Practice Address - Phone:765-985-3891
Practice Address - Fax:756-985-3904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100198110Medicaid