Provider Demographics
NPI:1114984143
Name:CLARION AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CLARION AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BALOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-226-6110
Mailing Address - Street 1:800 BOUNDARY ST
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-1655
Mailing Address - Country:US
Mailing Address - Phone:814-226-8118
Mailing Address - Fax:814-226-9292
Practice Address - Street 1:800 BOUNDARY ST
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-1655
Practice Address - Country:US
Practice Address - Phone:814-226-8118
Practice Address - Fax:814-226-9292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
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
PA0014768290001Medicaid