Provider Demographics
NPI:1003901869
Name:CORNELL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CORNELL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURTHA
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:412-264-5010
Mailing Address - Street 1:1099 MAPLE STREET EXT
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2910
Mailing Address - Country:US
Mailing Address - Phone:412-564-5010
Mailing Address - Fax:412-264-1445
Practice Address - Street 1:1099 MAPLE STREET EXT
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-2910
Practice Address - Country:US
Practice Address - Phone:412-564-5010
Practice Address - Fax:412-264-1445
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 Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014789120001Medicaid