Provider Demographics
NPI:1477501872
Name:CAPITAL AREA INTERMEDIATE UNIT
Entity Type:Organization
Organization Name:CAPITAL AREA INTERMEDIATE UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHUBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-732-8400
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:55 MILLER ST
Mailing Address - City:SUMMERDALE
Mailing Address - State:PA
Mailing Address - Zip Code:17093-0489
Mailing Address - Country:US
Mailing Address - Phone:717-732-8400
Mailing Address - Fax:717-732-8425
Practice Address - Street 1:55 MILLER ST
Practice Address - Street 2:
Practice Address - City:SUMMERDALE
Practice Address - State:PA
Practice Address - Zip Code:17093-0489
Practice Address - Country:US
Practice Address - Phone:717-732-8400
Practice Address - Fax:717-732-8425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
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
PA1000062950002Medicaid