Provider Demographics
NPI:1528011012
Name:LAUREL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LAUREL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENNON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-658-8940
Mailing Address - Street 1:223 MCCASLIN RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-8805
Mailing Address - Country:US
Mailing Address - Phone:724-658-2673
Mailing Address - Fax:724-658-2992
Practice Address - Street 1:223 MCCASLIN RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-8805
Practice Address - Country:US
Practice Address - Phone:724-658-2673
Practice Address - Fax:724-658-2992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
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
PA0018767500001Medicaid