Provider Demographics
NPI:1821167792
Name:BALD EAGLE AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BALD EAGLE AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:POPOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-355-5731
Mailing Address - Street 1:751 S EAGLE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WINGATE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-4740
Mailing Address - Country:US
Mailing Address - Phone:814-355-5731
Mailing Address - Fax:814-355-5157
Practice Address - Street 1:751 S EAGLE VALLEY RD
Practice Address - Street 2:
Practice Address - City:WINGATE
Practice Address - State:PA
Practice Address - Zip Code:16823-4740
Practice Address - Country:US
Practice Address - Phone:814-355-5731
Practice Address - Fax:814-355-5157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
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
PA0014322520001Medicaid