Provider Demographics
NPI:1508977505
Name:KEYSTONE OAKS SCHOOL DISTRICT
Entity Type:Organization
Organization Name:KEYSTONE OAKS SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:URBANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-571-6008
Mailing Address - Street 1:3200 ANNAPOLIS AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-1836
Mailing Address - Country:US
Mailing Address - Phone:412-571-6163
Mailing Address - Fax:412-571-6006
Practice Address - Street 1:3200 ANNAPOLIS AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-1836
Practice Address - Country:US
Practice Address - Phone:412-571-6163
Practice Address - Fax:412-571-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
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
PA0016019450001Medicaid