Provider Demographics
NPI:1861459984
Name:DUBOIS AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DUBOIS AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:KIRK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-371-2700
Mailing Address - Street 1:404 LIBERTY BLVD
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-2436
Mailing Address - Country:US
Mailing Address - Phone:814-375-8776
Mailing Address - Fax:814-375-8779
Practice Address - Street 1:404 LIBERTY BLVD
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-2436
Practice Address - Country:US
Practice Address - Phone:814-375-8776
Practice Address - Fax:814-375-8779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
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
PA0015036030001Medicaid