Provider Demographics
NPI:1568539104
Name:STO-ROX SCHOOL DISTRICT
Entity Type:Organization
Organization Name:STO-ROX SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:F
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:412-778-8871
Mailing Address - Street 1:600 RUSSELLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-3055
Mailing Address - Country:US
Mailing Address - Phone:412-778-8871
Mailing Address - Fax:412-771-5205
Practice Address - Street 1:600 RUSSELLWOOD AVE
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-3055
Practice Address - Country:US
Practice Address - Phone:412-778-8871
Practice Address - Fax:412-771-5205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
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
PA0014956640001Medicaid