MEDICARE: MONROE CENTRAL 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	:	1649459702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONROE CENTRAL SCHOOL CORPORATION

Provider Business Mailing Address
First Line	:	1918 NORTH COUNTY ROAD 1000 WEST
Second Line	:
City	:	PARKER CITY
State	:	IN
Zip	:	47368
Country	:	US
Telephone Number	:	765-468-7725
Fax Number	:

Provider Business Practice Location Address
First Line	:	1918 NORTH COUNTY ROAD 1000 WEST
Second Line	:
City	:	PARKER CITY
State	:	IN
Zip	:	47368
Country	:	US
Telephone Number	:	765-468-7725
Fax Number	:

Authorized Official
Title or Position	:	SUPTERINTENDENT
Name	:	ZACH ROZELLE
Credential	:
Telephone Number	:	765-468-7725

Provider Enumeration Date	:	10/25/2007
Last Update Date	:	10/31/2007

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