Provider Demographics
NPI:1558428755
Name:ELIZABETHTOWN AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ELIZABETHTOWN AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:THRUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-367-1521
Mailing Address - Street 1:600 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-1713
Mailing Address - Country:US
Mailing Address - Phone:717-367-1521
Mailing Address - Fax:171-367-1920
Practice Address - Street 1:600 E HIGH ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-1713
Practice Address - Country:US
Practice Address - Phone:717-367-1521
Practice Address - Fax:171-367-1920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
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
PA1013098970001Medicaid