Provider Demographics
NPI:1790849826
Name:SOUTHERN WELLS COMMUNITY SCHOOLS
Entity Type:Organization
Organization Name:SOUTHERN WELLS COMMUNITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:POTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-728-5537
Mailing Address - Street 1:9120 S 300 W
Mailing Address - Street 2:
Mailing Address - City:PONETO
Mailing Address - State:IN
Mailing Address - Zip Code:46781-9713
Mailing Address - Country:US
Mailing Address - Phone:765-728-5537
Mailing Address - Fax:765-728-8124
Practice Address - Street 1:9120 S 300 W
Practice Address - Street 2:
Practice Address - City:PONETO
Practice Address - State:IN
Practice Address - Zip Code:46781-9713
Practice Address - Country:US
Practice Address - Phone:765-728-5537
Practice Address - Fax:765-728-8124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)