Provider Demographics
NPI:1699837609
Name:INDIANA SCHOOL FOR THE DEAF
Entity Type:Organization
Organization Name:INDIANA SCHOOL FOR THE DEAF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GEESLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-924-8400
Mailing Address - Street 1:1200 E 42ND ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-2004
Mailing Address - Country:US
Mailing Address - Phone:317-924-4374
Mailing Address - Fax:317-923-2853
Practice Address - Street 1:1200 E 42ND ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-2004
Practice Address - Country:US
Practice Address - Phone:317-924-4374
Practice Address - Fax:317-923-2853
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STATE OF INDIANA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-15
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100313270Medicaid
IN5385OtherSCHOOL NUMBER
INC695OtherCORPORATION NUMBER