Provider Demographics
NPI:1922132307
Name:ELKHART COMMUNITY SCHOOLS
Entity Type:Organization
Organization Name:ELKHART COMMUNITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MECCATECH, INC S&S MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BENZLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-853-6556
Mailing Address - Street 1:2720 CALIFORNIA RD
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514-1220
Mailing Address - Country:US
Mailing Address - Phone:574-262-5542
Mailing Address - Fax:574-262-5548
Practice Address - Street 1:2720 CALIFORNIA RD
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-1220
Practice Address - Country:US
Practice Address - Phone:574-262-5542
Practice Address - Fax:574-262-5548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100198430AMedicaid