Provider Demographics
NPI:1962440446
Name:SOUTH WESTERN SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SOUTH WESTERN SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:H
Authorized Official - Last Name:BURKHART
Authorized Official - Suffix:
Authorized Official - Credentials:DED
Authorized Official - Phone:717-632-2500
Mailing Address - Street 1:225 BOWMAN RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-4213
Mailing Address - Country:US
Mailing Address - Phone:717-632-2500
Mailing Address - Fax:717-632-7993
Practice Address - Street 1:225 BOWMAN RD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-4213
Practice Address - Country:US
Practice Address - Phone:717-632-2500
Practice Address - Fax:717-632-7993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012337070001Medicaid