Provider Demographics
NPI:1710039433
Name:PACE SCHOOL
Entity Type:Organization
Organization Name:PACE SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-244-1900
Mailing Address - Street 1:2432 GREENSBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3611
Mailing Address - Country:US
Mailing Address - Phone:412-244-1900
Mailing Address - Fax:412-244-0100
Practice Address - Street 1:2432 GREENSBURG PIKE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-3611
Practice Address - Country:US
Practice Address - Phone:412-244-1900
Practice Address - Fax:412-244-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
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
PA0009896230003Medicaid