Provider Demographics
NPI:1114966066
Name:UPPER ADAMS SCHOOL DISTRICT
Entity Type:Organization
Organization Name:UPPER ADAMS SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR/BOARD SEC.
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:BS PRSBO
Authorized Official - Phone:717-677-7191
Mailing Address - Street 1:161 N MAIN ST
Mailing Address - Street 2:PO BOX 847
Mailing Address - City:BIGLERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17307-9228
Mailing Address - Country:US
Mailing Address - Phone:717-677-7191
Mailing Address - Fax:717-677-9807
Practice Address - Street 1:161 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BIGLERVILLE
Practice Address - State:PA
Practice Address - Zip Code:17307-9228
Practice Address - Country:US
Practice Address - Phone:717-677-7191
Practice Address - Fax:717-677-9807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
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
PA0012911450001Medicaid