Provider Demographics
NPI:1437695251
Name:EAST PORTER COUNTY SCHOOL CORPORATION
Entity Type:Organization
Organization Name:EAST PORTER COUNTY SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROD
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:219-766-2214
Mailing Address - Street 1:502 E COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:KOUTS
Mailing Address - State:IN
Mailing Address - Zip Code:46347-7035
Mailing Address - Country:US
Mailing Address - Phone:219-766-2214
Mailing Address - Fax:219-766-2214
Practice Address - Street 1:502 E COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:KOUTS
Practice Address - State:IN
Practice Address - Zip Code:46347-7035
Practice Address - Country:US
Practice Address - Phone:219-766-2214
Practice Address - Fax:219-766-2214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)