Provider Demographics
NPI:1114149697
Name:LINCOLN CHARTER SCHOOL
Entity Type:Organization
Organization Name:LINCOLN CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEC. ED. COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSTIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-699-1573
Mailing Address - Street 1:559 WEST KING ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-3706
Mailing Address - Country:US
Mailing Address - Phone:717-699-1573
Mailing Address - Fax:717-846-4031
Practice Address - Street 1:559 WEST KING ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-3706
Practice Address - Country:US
Practice Address - Phone:717-699-1573
Practice Address - Fax:717-846-4031
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
PA0018654150001Medicaid