Provider Demographics
NPI:1114983343
Name:BRADFORD AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BRADFORD AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHARINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PUDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-362-3841
Mailing Address - Street 1:140 LORANA AVE
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16701-1831
Mailing Address - Country:US
Mailing Address - Phone:814-362-3509
Mailing Address - Fax:814-362-1812
Practice Address - Street 1:140 LORANA AVE
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701-1831
Practice Address - Country:US
Practice Address - Phone:814-362-3509
Practice Address - Fax:814-362-1812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
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
PA0013924890001Medicaid