Provider Demographics
NPI:1235310509
Name:BENTWORTH SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BENTWORTH SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BABIRAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-239-2861
Mailing Address - Street 1:150 BEARCAT DR
Mailing Address - Street 2:
Mailing Address - City:BENTLEYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15314-1463
Mailing Address - Country:US
Mailing Address - Phone:724-239-2861
Mailing Address - Fax:724-239-2865
Practice Address - Street 1:150 BEARCAT DR
Practice Address - Street 2:
Practice Address - City:BENTLEYVILLE
Practice Address - State:PA
Practice Address - Zip Code:15314-1463
Practice Address - Country:US
Practice Address - Phone:724-239-2861
Practice Address - Fax:724-239-2865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015035970001Medicaid