Provider Demographics
NPI:1477684330
Name:SALISBURY-ELK LICK SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SALISBURY-ELK LICK SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RENZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-662-2733
Mailing Address - Street 1:196 SMITH AVENUE
Mailing Address - Street 2:PO BOX 68
Mailing Address - City:SALISBURY
Mailing Address - State:PA
Mailing Address - Zip Code:15558-0068
Mailing Address - Country:US
Mailing Address - Phone:814-662-2733
Mailing Address - Fax:814-662-2544
Practice Address - Street 1:196 SMITH AVENUE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:PA
Practice Address - Zip Code:15558-0068
Practice Address - Country:US
Practice Address - Phone:814-662-2733
Practice Address - Fax:814-662-2544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012935890001Medicaid