Provider Demographics
NPI:1376687988
Name:TRI-CREEK SCHOOL CORPORATION
Entity Type:Organization
Organization Name:TRI-CREEK SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:GOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-696-6661
Mailing Address - Street 1:195 W OAKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:IN
Mailing Address - Zip Code:46356-2206
Mailing Address - Country:US
Mailing Address - Phone:219-696-6661
Mailing Address - Fax:219-696-2150
Practice Address - Street 1:195 W OAKLEY AVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:IN
Practice Address - Zip Code:46356-2206
Practice Address - Country:US
Practice Address - Phone:219-696-6661
Practice Address - Fax:219-696-2150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)