Provider Demographics
NPI:1710223953
Name:MACONAQUAH SCHOOL CORPORATION
Entity type:Organization
Organization Name:MACONAQUAH SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-689-9131
Mailing Address - Street 1:7932 S STRAWTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:BUNKER HILL
Mailing Address - State:IN
Mailing Address - Zip Code:46914-9667
Mailing Address - Country:US
Mailing Address - Phone:765-689-9131
Mailing Address - Fax:765-689-0995
Practice Address - Street 1:7932 S STRAWTOWN PIKE
Practice Address - Street 2:
Practice Address - City:BUNKER HILL
Practice Address - State:IN
Practice Address - Zip Code:46914-9667
Practice Address - Country:US
Practice Address - Phone:765-689-9131
Practice Address - Fax:765-689-0995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)