MEDICARE: HAMILTON HEIGHTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		IN

General Provider Information

NPI Number	:	1063691624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMILTON HEIGHTS

Provider Business Mailing Address
First Line	:	PO BOX 469
Second Line	:	410 WEST MAIN STREET
City	:	ARCADIA
State	:	IN
Zip	:	46030
Country	:	US
Telephone Number	:	317-984-3538
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 WEST MAIN STREET
Second Line	:
City	:	ARCADIA
State	:	IN
Zip	:	46030
Country	:	US
Telephone Number	:	317-984-3538
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	ANTHONY COOK
Credential	:
Telephone Number	:	317-984-3538

Provider Enumeration Date	:	10/31/2007
Last Update Date	:	10/31/2007

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Directions to “HAMILTON HEIGHTS ” Practice Location

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