Provider Demographics
NPI:1477507135
Name:MIFFLINBURG AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MIFFLINBURG AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHEEHAN-BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:570-966-8338
Mailing Address - Street 1:115 SHIPTON ST
Mailing Address - Street 2:
Mailing Address - City:MIFFLINBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17844-1433
Mailing Address - Country:US
Mailing Address - Phone:570-966-8336
Mailing Address - Fax:570-966-8339
Practice Address - Street 1:115 SHIPTON ST
Practice Address - Street 2:
Practice Address - City:MIFFLINBURG
Practice Address - State:PA
Practice Address - Zip Code:17844-1433
Practice Address - Country:US
Practice Address - Phone:570-966-8336
Practice Address - Fax:570-966-8339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
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
PA0016550150001Medicaid