Provider Demographics
NPI:1568591170
Name:MOON AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MOON AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:META
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-264-9440
Mailing Address - Street 1:8353 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4202
Mailing Address - Country:US
Mailing Address - Phone:412-264-9440
Mailing Address - Fax:
Practice Address - Street 1:8353 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-4202
Practice Address - Country:US
Practice Address - Phone:412-264-9440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
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
PA0014888390001Medicaid