Provider Demographics
NPI:1407181894
Name:CLAY COMMUNITY SCHOOLS
Entity Type:Organization
Organization Name:CLAY COMMUNITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-443-4461
Mailing Address - Street 1:9750 N CRAWFORD STREET
Mailing Address - Street 2:
Mailing Address - City:KNIGHTSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47857
Mailing Address - Country:US
Mailing Address - Phone:812-443-4461
Mailing Address - Fax:
Practice Address - Street 1:9750 N CRAWFORD STREET
Practice Address - Street 2:
Practice Address - City:KNIGHTSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47857
Practice Address - Country:US
Practice Address - Phone:812-443-4461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)