MEDICARE: NORTHWEST ALLEN COUNTY SCHOOLS

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)

General Provider Information

NPI Number	:	1114080561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST ALLEN COUNTY SCHOOLS

Provider Business Mailing Address
First Line	:	13119 COLDWATER RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-9631
Country	:	US
Telephone Number	:	260-637-3155
Fax Number	:

Provider Business Practice Location Address
First Line	:	13119 COLDWATER RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-9631
Country	:	US
Telephone Number	:	260-637-3155
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DR. STEVEN YAGER
Credential	:
Telephone Number	:	260-637-3155

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	08/22/2020

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Directions to “NORTHWEST ALLEN COUNTY SCHOOLS ” Practice Location

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