Provider Demographics
NPI:1578784831
Name:GOSHEN COMMUNITY SCHOOLS
Entity Type:Organization
Organization Name:GOSHEN COMMUNITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:STAHLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-533-8631
Mailing Address - Street 1:613 E PURL ST
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-4044
Mailing Address - Country:US
Mailing Address - Phone:574-533-8631
Mailing Address - Fax:574-533-2505
Practice Address - Street 1:613 E PURL ST
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-4044
Practice Address - Country:US
Practice Address - Phone:574-533-8631
Practice Address - Fax:574-533-2505
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)