Provider Demographics
NPI:1265724371
Name:BOARD OF FUNDAMENTAL EDUCATION 'BFE'
Entity type:Organization
Organization Name:BOARD OF FUNDAMENTAL EDUCATION 'BFE'
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-412-8358
Mailing Address - Street 1:5210 MAROTT CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-1541
Mailing Address - Country:US
Mailing Address - Phone:317-412-8358
Mailing Address - Fax:317-733-9833
Practice Address - Street 1:5210 MAROTT CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-1541
Practice Address - Country:US
Practice Address - Phone:317-412-8531
Practice Address - Fax:317-733-9833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-07
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251300000XAgenciesLocal Education Agency (LEA)