Provider Demographics
NPI:1851776223
Name:WHITLEY COUNTY CONSOLIDATED SCHOOLS
Entity Type:Organization
Organization Name:WHITLEY COUNTY CONSOLIDATED SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDERMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-244-5711
Mailing Address - Street 1:107 N WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46725-2066
Mailing Address - Country:US
Mailing Address - Phone:260-244-5771
Mailing Address - Fax:260-244-4590
Practice Address - Street 1:107 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA CITY
Practice Address - State:IN
Practice Address - Zip Code:46725-2066
Practice Address - Country:US
Practice Address - Phone:260-244-5771
Practice Address - Fax:260-244-4590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)