Provider Demographics
NPI:1710600366
Name:SPRINGVILLE COMMUNITY ACADEMY
Entity Type:Organization
Organization Name:SPRINGVILLE COMMUNITY ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-508-6078
Mailing Address - Street 1:126 BRICK STREET
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47462
Mailing Address - Country:US
Mailing Address - Phone:812-508-6078
Mailing Address - Fax:
Practice Address - Street 1:126 BRICK STREET
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:IN
Practice Address - Zip Code:47462
Practice Address - Country:US
Practice Address - Phone:812-508-6078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)