Provider Demographics
NPI:1598003360
Name:BLUE RIVER VALLEY SCHOOL CORPORATION
Entity Type:Organization
Organization Name:BLUE RIVER VALLEY SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:WELSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-836-4816
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:303 SOUTH WALNUT STREET
Mailing Address - City:MOUNT SUMMIT
Mailing Address - State:IN
Mailing Address - Zip Code:47361-0217
Mailing Address - Country:US
Mailing Address - Phone:765-836-4816
Mailing Address - Fax:765-836-4817
Practice Address - Street 1:303 SOUTH WALNUT STREET
Practice Address - Street 2:
Practice Address - City:MOUNT SUMMIT
Practice Address - State:IN
Practice Address - Zip Code:47361-0217
Practice Address - Country:US
Practice Address - Phone:765-836-4816
Practice Address - Fax:765-836-4817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)