Provider Demographics
NPI:1700915907
Name:SCHOOL TOWN OF HIGHLAND
Entity Type:Organization
Organization Name:SCHOOL TOWN OF HIGHLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BOSKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:219-924-7400
Mailing Address - Street 1:9145 KENNEDY AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2747
Mailing Address - Country:US
Mailing Address - Phone:219-924-7400
Mailing Address - Fax:219-922-5637
Practice Address - Street 1:9145 KENNEDY AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-2747
Practice Address - Country:US
Practice Address - Phone:219-924-7400
Practice Address - Fax:219-922-5637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)