Provider Demographics
NPI:1548209323
Name:UPPER DAUPHIN AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:UPPER DAUPHIN AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER/BOARD SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-362-8134
Mailing Address - Street 1:5668 STATE ROUTE 209
Mailing Address - Street 2:
Mailing Address - City:LYKENS
Mailing Address - State:PA
Mailing Address - Zip Code:17048-8414
Mailing Address - Country:US
Mailing Address - Phone:717-362-8134
Mailing Address - Fax:717-362-3050
Practice Address - Street 1:5668 STATE ROUTE 209
Practice Address - Street 2:
Practice Address - City:LYKENS
Practice Address - State:PA
Practice Address - Zip Code:17048-8414
Practice Address - Country:US
Practice Address - Phone:717-362-8134
Practice Address - Fax:717-362-3050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
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
PA0014583840001Medicaid