Provider Demographics
NPI:1346214830
Name:CANTON AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CANTON AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:JANNONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-673-3191
Mailing Address - Street 1:141 E UNION ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:PA
Mailing Address - Zip Code:17724-1205
Mailing Address - Country:US
Mailing Address - Phone:570-673-3191
Mailing Address - Fax:570-673-3680
Practice Address - Street 1:141 E UNION ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:PA
Practice Address - Zip Code:17724-1205
Practice Address - Country:US
Practice Address - Phone:570-673-3191
Practice Address - Fax:570-673-3680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014282780001Medicaid