Provider Demographics
NPI:1336488048
Name:SCHOOL TOWN OF SPEEDWAY
Entity Type:Organization
Organization Name:SCHOOL TOWN OF SPEEDWAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-244-0236
Mailing Address - Street 1:5335 W 25TH ST
Mailing Address - Street 2:
Mailing Address - City:SPEEDWAY
Mailing Address - State:IN
Mailing Address - Zip Code:46224-3905
Mailing Address - Country:US
Mailing Address - Phone:317-244-0236
Mailing Address - Fax:317-486-4843
Practice Address - Street 1:5335 W 25TH ST
Practice Address - Street 2:
Practice Address - City:SPEEDWAY
Practice Address - State:IN
Practice Address - Zip Code:46224-3905
Practice Address - Country:US
Practice Address - Phone:317-244-0236
Practice Address - Fax:317-486-4843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)