Provider Demographics
NPI:1972696623
Name:BLOOMFIELD SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BLOOMFIELD SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SICHTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-384-4507
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:47424
Mailing Address - Country:US
Mailing Address - Phone:812-384-4507
Mailing Address - Fax:812-384-0172
Practice Address - Street 1:500 W SOUTH STREET
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:IN
Practice Address - Zip Code:47424
Practice Address - Country:US
Practice Address - Phone:812-384-4507
Practice Address - Fax:812-384-0172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)