Provider Demographics
NPI:1972622413
Name:SMITH GREEN COMMUNITY SCHOOLS
Entity Type:Organization
Organization Name:SMITH GREEN COMMUNITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-693-2007
Mailing Address - Street 1:222 W TULLEY ST
Mailing Address - Street 2:
Mailing Address - City:CHURUBUSCO
Mailing Address - State:IN
Mailing Address - Zip Code:46723-1414
Mailing Address - Country:US
Mailing Address - Phone:260-693-2007
Mailing Address - Fax:260-693-6434
Practice Address - Street 1:222 W TULLEY ST
Practice Address - Street 2:
Practice Address - City:CHURUBUSCO
Practice Address - State:IN
Practice Address - Zip Code:46723-1414
Practice Address - Country:US
Practice Address - Phone:260-693-2007
Practice Address - Fax:260-693-6434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)