Provider Demographics
NPI:1013104223
Name:RANDOLPH EASTERN SCHOOL CORPORATION
Entity Type:Organization
Organization Name:RANDOLPH EASTERN SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEPHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-964-4994
Mailing Address - Street 1:907 N PLUM ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47390-1029
Mailing Address - Country:US
Mailing Address - Phone:765-964-4994
Mailing Address - Fax:765-964-6590
Practice Address - Street 1:907 N PLUM ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:IN
Practice Address - Zip Code:47390-1029
Practice Address - Country:US
Practice Address - Phone:765-964-4994
Practice Address - Fax:765-964-6590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)