Provider Demographics
NPI:1184680779
Name:BEAVER AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BEAVER AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:724-774-4010
Mailing Address - Street 1:855 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2600
Mailing Address - Country:US
Mailing Address - Phone:724-774-4021
Mailing Address - Fax:724-774-8770
Practice Address - Street 1:855 2ND ST
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2600
Practice Address - Country:US
Practice Address - Phone:724-774-4021
Practice Address - Fax:724-774-8770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
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
PA0019331950001Medicaid