Provider Demographics
NPI:1578521654
Name:EASTERN YORK SCHOOL DISTRICT
Entity Type:Organization
Organization Name:EASTERN YORK SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:THEW
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR
Authorized Official - Phone:717-252-1555
Mailing Address - Street 1:120 S 3RD ST
Mailing Address - Street 2:PO BOX 150
Mailing Address - City:WRIGHTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17368-1511
Mailing Address - Country:US
Mailing Address - Phone:717-252-1555
Mailing Address - Fax:717-478-6000
Practice Address - Street 1:120 S 3RD ST
Practice Address - Street 2:
Practice Address - City:WRIGHTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17368-1511
Practice Address - Country:US
Practice Address - Phone:717-252-1555
Practice Address - Fax:717-478-6000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
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
PA0014728100001Medicaid