Provider Demographics
NPI:1003038506
Name:MILLERSBURG AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MILLERSBURG AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED. SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEREE-LEE
Authorized Official - Middle Name:S
Authorized Official - Last Name:KNORR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-692-2108
Mailing Address - Street 1:799 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17061-1420
Mailing Address - Country:US
Mailing Address - Phone:717-692-2108
Mailing Address - Fax:717-692-2895
Practice Address - Street 1:799 CENTER ST
Practice Address - Street 2:
Practice Address - City:MILLERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17061-1420
Practice Address - Country:US
Practice Address - Phone:717-692-2108
Practice Address - Fax:717-692-2895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018795370001Medicaid