Provider Demographics
NPI:1366488918
Name:EASTON AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:EASTON AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR OF AUX. SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-250-2400
Mailing Address - Street 1:1801 BUSHKILL DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-8186
Mailing Address - Country:US
Mailing Address - Phone:610-250-2400
Mailing Address - Fax:610-250-9730
Practice Address - Street 1:1801 BUSHKILL DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18040-8186
Practice Address - Country:US
Practice Address - Phone:610-250-2400
Practice Address - Fax:610-250-9730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
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
PA0014119780001Medicaid