Provider Demographics
NPI:1912179839
Name:KINGWOOD TOWNSHIP SCHOOL
Entity Type:Organization
Organization Name:KINGWOOD TOWNSHIP SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF SCHOOL ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-996-2941
Mailing Address - Street 1:880 COUNTY ROAD 519
Mailing Address - Street 2:
Mailing Address - City:FRENCHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08825-3029
Mailing Address - Country:US
Mailing Address - Phone:908-996-2941
Mailing Address - Fax:908-996-7268
Practice Address - Street 1:880 COUNTY ROAD 519
Practice Address - Street 2:
Practice Address - City:FRENCHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08825-3029
Practice Address - Country:US
Practice Address - Phone:908-996-2941
Practice Address - Fax:908-996-7268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6478603Medicaid