MEDICARE: PILOTED SCHOOLS OF INDIANA

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	:	1588448807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PILOTED SCHOOLS OF INDIANA

Provider Business Mailing Address
First Line	:	2710 BETHEL AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203-3103
Country	:	US
Telephone Number	:	317-438-5426
Fax Number	:

Provider Business Practice Location Address
First Line	:	2710 BETHEL AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203-3103
Country	:	US
Telephone Number	:	317-438-5426
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	JENNICA ADKINS
Credential	:
Telephone Number	:	317-438-5426

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/21/2023

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Directions to “PILOTED SCHOOLS OF INDIANA ” Practice Location

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