Provider Demographics
NPI:1578787529
Name:MEDORA COMMUNITY SCHOOL CORP
Entity Type:Organization
Organization Name:MEDORA COMMUNITY SCHOOL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:W
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD EDUCATIONAL ADMI
Authorized Official - Phone:812-966-2210
Mailing Address - Street 1:PO BOX 4
Mailing Address - Street 2:
Mailing Address - City:MEDORA
Mailing Address - State:IN
Mailing Address - Zip Code:47260
Mailing Address - Country:US
Mailing Address - Phone:812-966-2210
Mailing Address - Fax:812-966-2217
Practice Address - Street 1:32 SOUTH PERRY STREET
Practice Address - Street 2:
Practice Address - City:MEDORA
Practice Address - State:IN
Practice Address - Zip Code:47260
Practice Address - Country:US
Practice Address - Phone:812-966-2210
Practice Address - Fax:812-966-2217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)