Provider Demographics
NPI:1649214461
Name:CENTRAL CAMBRIA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CENTRAL CAMBRIA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MAKOSY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-472-8870
Mailing Address - Street 1:208 SCHOOLHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-7617
Mailing Address - Country:US
Mailing Address - Phone:814-472-8870
Mailing Address - Fax:814-472-9695
Practice Address - Street 1:208 SCHOOLHOUSE RD
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-7617
Practice Address - Country:US
Practice Address - Phone:814-472-8870
Practice Address - Fax:814-472-9695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
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
PA0012860470001Medicaid