Provider Demographics
NPI:1962458117
Name:QUAKER VALLEY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:QUAKER VALLEY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PUPIL SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-749-3618
Mailing Address - Street 1:100 LEETSDALE INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:LEETSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15056-1017
Mailing Address - Country:US
Mailing Address - Phone:412-749-3618
Mailing Address - Fax:412-749-3601
Practice Address - Street 1:100 LEETSDALE INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:LEETSDALE
Practice Address - State:PA
Practice Address - Zip Code:15056-1017
Practice Address - Country:US
Practice Address - Phone:412-749-3618
Practice Address - Fax:412-749-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014454660001Medicaid