Provider Demographics
NPI:1891751020
Name:BERMUDIAN SPRINGS SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BERMUDIAN SPRINGS SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHOEMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:717-528-4113
Mailing Address - Street 1:7335 CARLISLE PIKE
Mailing Address - Street 2:BOX 501
Mailing Address - City:YORK SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:17372-8807
Mailing Address - Country:US
Mailing Address - Phone:717-528-4113
Mailing Address - Fax:717-528-7981
Practice Address - Street 1:7335 CARLISLE PIKE
Practice Address - Street 2:
Practice Address - City:YORK SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:17372-8807
Practice Address - Country:US
Practice Address - Phone:717-528-4113
Practice Address - Fax:717-528-7981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
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
PA0015117210001Medicaid