Provider Demographics
NPI:1407440373
Name:BORDEN HENRYVILLE SCHOOL CORPORATION
Entity Type:Organization
Organization Name:BORDEN HENRYVILLE SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-913-9632
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:BORDEN
Mailing Address - State:IN
Mailing Address - Zip Code:47106-0010
Mailing Address - Country:US
Mailing Address - Phone:812-913-9630
Mailing Address - Fax:812-913-9631
Practice Address - Street 1:207 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:BORDEN
Practice Address - State:IN
Practice Address - Zip Code:47106-0010
Practice Address - Country:US
Practice Address - Phone:812-913-9630
Practice Address - Fax:812-913-9631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)