Provider Demographics
NPI:1922116813
Name:WILMINGTON AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WILMINGTON AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-656-8866
Mailing Address - Street 1:450 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:NEW WILMINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:16142-1022
Mailing Address - Country:US
Mailing Address - Phone:724-565-8866
Mailing Address - Fax:724-946-8259
Practice Address - Street 1:450 WOOD ST
Practice Address - Street 2:
Practice Address - City:NEW WILMINGTON
Practice Address - State:PA
Practice Address - Zip Code:16142-1022
Practice Address - Country:US
Practice Address - Phone:724-565-8866
Practice Address - Fax:724-946-8259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014888100001Medicaid