Provider Demographics
NPI:1861588428
Name:CLINTON CENTRAL SCHOOL CORPORATION
Entity type:Organization
Organization Name:CLINTON CENTRAL SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-249-2515
Mailing Address - Street 1:725 N ST RD 29
Mailing Address - Street 2:PO BOX 118
Mailing Address - City:MICHIGANTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46057
Mailing Address - Country:US
Mailing Address - Phone:765-249-2515
Mailing Address - Fax:765-249-2504
Practice Address - Street 1:725 N ST RD 29
Practice Address - Street 2:
Practice Address - City:MICHIGANTOWN
Practice Address - State:IN
Practice Address - Zip Code:46057
Practice Address - Country:US
Practice Address - Phone:765-249-2515
Practice Address - Fax:765-249-2504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)