Provider Demographics
NPI:1780641738
Name:COLUMBIA BOROUGH SCHOOL DISTRICT
Entity Type:Organization
Organization Name:COLUMBIA BOROUGH SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOLENAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-684-2283
Mailing Address - Street 1:200 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:PA
Mailing Address - Zip Code:17512-2102
Mailing Address - Country:US
Mailing Address - Phone:717-684-2283
Mailing Address - Fax:717-681-2220
Practice Address - Street 1:200 N 5TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-2102
Practice Address - Country:US
Practice Address - Phone:717-684-2283
Practice Address - Fax:717-681-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
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
PA1013324650001Medicaid