Provider Demographics
NPI:1376764613
Name:SOUTH GIBSON SCHOOL CORP
Entity Type:Organization
Organization Name:SOUTH GIBSON SCHOOL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-753-4230
Mailing Address - Street 1:1029 W. 650 S
Mailing Address - Street 2:
Mailing Address - City:FORT BRANCH
Mailing Address - State:IN
Mailing Address - Zip Code:47648-9739
Mailing Address - Country:US
Mailing Address - Phone:812-753-4230
Mailing Address - Fax:
Practice Address - Street 1:1029 W. 650 S
Practice Address - Street 2:
Practice Address - City:FORT BRANCH
Practice Address - State:IN
Practice Address - Zip Code:47648-9739
Practice Address - Country:US
Practice Address - Phone:812-753-4230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)