Healthcare Provider Details

I. General information

NPI: 1831028661
Provider Name (Legal Business Name): AVONDALE MEADOWS MIDDLE SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3980 MEADOWS DRIVE WING B
INDIANAPOLIS IN
46205-3114
US

IV. Provider business mailing address

3980 MEADOWS DR WING B
INDIANAPOLIS IN
46205-3114
US

V. Phone/Fax

Practice location:
  • Phone: 317-550-3363
  • Fax:
Mailing address:
  • Phone: 317-550-3363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: LAURA BURTON
Title or Position: BUSINESS MANAGER
Credential:
Phone: 317-550-3407