Provider Demographics
NPI:1770685703
Name:NORTHEAST SCHOOL CORPORATION
Entity Type:Organization
Organization Name:NORTHEAST SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-383-5761
Mailing Address - Street 1:406 NORTH VINE STREET
Mailing Address - Street 2:PO BOX 493
Mailing Address - City:HYMERA
Mailing Address - State:IN
Mailing Address - Zip Code:47855
Mailing Address - Country:US
Mailing Address - Phone:812-383-5761
Mailing Address - Fax:812-383-4591
Practice Address - Street 1:406 NORTH VINE STREET
Practice Address - Street 2:
Practice Address - City:HYMERA
Practice Address - State:IN
Practice Address - Zip Code:47855
Practice Address - Country:US
Practice Address - Phone:812-383-5761
Practice Address - Fax:812-383-4591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)