MEDICARE: COVINGTON COMMUNITY 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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2440	OTHER	IN	SCHOOL CORP

General Provider Information

NPI Number	:	1396957676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVINGTON COMMUNITY SCHOOLS

Provider Business Mailing Address
First Line	:	PO BOX 225
Second Line	:
City	:	COVINGTON
State	:	IN
Zip	:	47932-0225
Country	:	US
Telephone Number	:	765-793-4877
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 MARKET ST
Second Line	:
City	:	COVINGTON
State	:	IN
Zip	:	47932-1052
Country	:	US
Telephone Number	:	765-793-4877
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	NATE EVANS
Credential	:
Telephone Number	:	765-793-4877

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	08/22/2020

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Directions to “COVINGTON COMMUNITY SCHOOLS ” Practice Location

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