Provider Demographics
NPI:1528017423
Name:WESTERN PA SCHOOL FOR BLIND CHILDREN
Entity Type:Organization
Organization Name:WESTERN PA SCHOOL FOR BLIND CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR OF AFFILIATED SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-621-6013
Mailing Address - Street 1:201 N BELLEFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1458
Mailing Address - Country:US
Mailing Address - Phone:412-621-0100
Mailing Address - Fax:412-621-8965
Practice Address - Street 1:201 N BELLEFIELD AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1458
Practice Address - Country:US
Practice Address - Phone:412-621-0100
Practice Address - Fax:412-621-8965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
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
PA0013976630001Medicaid