Provider Demographics
NPI:1598716896
Name:GIRARD SCHOOL DISTRICT
Entity Type:Organization
Organization Name:GIRARD SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BORKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-774-9309
Mailing Address - Street 1:2556 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16423-1515
Mailing Address - Country:US
Mailing Address - Phone:814-774-9309
Mailing Address - Fax:814-774-8885
Practice Address - Street 1:2556 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:PA
Practice Address - Zip Code:16423-1515
Practice Address - Country:US
Practice Address - Phone:814-774-9309
Practice Address - Fax:814-774-8885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
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
PA0016391470001Medicaid