Provider Demographics
NPI:1366084519
Name:BEECH GROVE CITY SCHOOLS
Entity type:Organization
Organization Name:BEECH GROVE CITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATION TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STATZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-788-4481
Mailing Address - Street 1:5334 HORNET AVE
Mailing Address - Street 2:
Mailing Address - City:BEECH GROVE
Mailing Address - State:IN
Mailing Address - Zip Code:46107-2306
Mailing Address - Country:US
Mailing Address - Phone:317-788-4481
Mailing Address - Fax:317-782-4065
Practice Address - Street 1:5334 HORNET AVE
Practice Address - Street 2:
Practice Address - City:BEECH GROVE
Practice Address - State:IN
Practice Address - Zip Code:46107-2306
Practice Address - Country:US
Practice Address - Phone:317-788-4481
Practice Address - Fax:317-782-4065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)Group - Multi-Specialty