Provider Demographics
NPI:1225091424
Name:MOHAWK AREA SD
Entity Type:Organization
Organization Name:MOHAWK AREA SD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF MOHAWK AREA SCHOO
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCNAMEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-667-7723
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:PA
Mailing Address - Zip Code:16112-0025
Mailing Address - Country:US
Mailing Address - Phone:724-667-7782
Mailing Address - Fax:
Practice Address - Street 1:385 MOHAWK SCHOOL ROAD
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:PA
Practice Address - Zip Code:16112-0025
Practice Address - Country:US
Practice Address - Phone:724-667-7782
Practice Address - Fax:724-667-0602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN226434L163W00000X
PASL004455L235Z00000X
PASL006197L235Z00000X
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Not Answered251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019405470001Medicaid