Provider Demographics
NPI:1942215660
Name:SOUTHMORELAND SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SOUTHMORELAND SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN. ASST. TO THE SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOLNAR
Authorized Official - Suffix:
Authorized Official - Credentials:DED
Authorized Official - Phone:724-887-2009
Mailing Address - Street 1:609 PARKER AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683-1026
Mailing Address - Country:US
Mailing Address - Phone:412-887-2000
Mailing Address - Fax:412-887-2040
Practice Address - Street 1:609 PARKER AVE
Practice Address - Street 2:
Practice Address - City:SCOTTDALE
Practice Address - State:PA
Practice Address - Zip Code:15683-1026
Practice Address - Country:US
Practice Address - Phone:412-887-2000
Practice Address - Fax:412-887-2040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
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
PA1015183310001Medicaid