MEDICARE: NORTH SPENCER COUNTY SCHOOL CORPORATION

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	:	1558580027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH SPENCER COUNTY SCHOOL CORPORATION

Provider Business Mailing Address
First Line	:	3720E STATE ROAD 162
Second Line	:
City	:	LINCOLN CITY
State	:	IN
Zip	:	47552
Country	:	US
Telephone Number	:	812-937-2400
Fax Number	:	812-937-7187

Provider Business Practice Location Address
First Line	:	3720 EAST STATE ROAD 162
Second Line	:
City	:	LINCOLN CITY
State	:	IN
Zip	:	47552
Country	:	US
Telephone Number	:	812-937-2400
Fax Number	:	812-937-7187

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MS. JOAN KELLER
Credential	:
Telephone Number	:	812-937-2400

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

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