Provider Demographics
NPI:1972626349
Name:APOLLO-RIDGE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:APOLLO-RIDGE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCESS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-478-6023
Mailing Address - Street 1:ROUTE 56 E
Mailing Address - Street 2:PO BOX 219
Mailing Address - City:SPRING CHURCH
Mailing Address - State:PA
Mailing Address - Zip Code:15686
Mailing Address - Country:US
Mailing Address - Phone:724-478-1141
Mailing Address - Fax:724-478-1149
Practice Address - Street 1:ROUTE 56 E
Practice Address - Street 2:
Practice Address - City:SPRING CHURCH
Practice Address - State:PA
Practice Address - Zip Code:15686
Practice Address - Country:US
Practice Address - Phone:724-478-1141
Practice Address - Fax:724-478-1149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
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
PA0015482200001Medicaid