Provider Demographics
NPI:1861853319
Name:OTTO-ELDRED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:OTTO-ELDRED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:SPLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-817-1380
Mailing Address - Street 1:143 SWEITZER DR
Mailing Address - Street 2:
Mailing Address - City:DUKE CENTER
Mailing Address - State:PA
Mailing Address - Zip Code:16729-9507
Mailing Address - Country:US
Mailing Address - Phone:814-817-1380
Mailing Address - Fax:814-966-3911
Practice Address - Street 1:143 SWEITZER DR
Practice Address - Street 2:
Practice Address - City:DUKE CENTER
Practice Address - State:PA
Practice Address - Zip Code:16729-9507
Practice Address - Country:US
Practice Address - Phone:814-817-1380
Practice Address - Fax:814-966-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-11
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty