Provider Demographics
NPI:1851329916
Name:SOUTH SIDE AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SOUTH SIDE AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEL GRECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-573-9581
Mailing Address - Street 1:4949 STATE ROUTE 151
Mailing Address - Street 2:
Mailing Address - City:HOOKSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15050
Mailing Address - Country:US
Mailing Address - Phone:724-573-9581
Mailing Address - Fax:724-573-0449
Practice Address - Street 1:4949 STATE ROUTE 151
Practice Address - Street 2:
Practice Address - City:HOOKSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15050
Practice Address - Country:US
Practice Address - Phone:724-573-9581
Practice Address - Fax:724-573-0449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
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
PA0014256050001Medicaid