Provider Demographics
NPI:1295894822
Name:WILLIAMSPORT AREA SCHOOL DISTRICT
Entity type:Organization
Organization Name:WILLIAMSPORT AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MACFALLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-327-5500
Mailing Address - Street 1:201 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-6409
Mailing Address - Country:US
Mailing Address - Phone:570-327-5500
Mailing Address - Fax:570-326-3131
Practice Address - Street 1:201 W 3RD ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-6409
Practice Address - Country:US
Practice Address - Phone:570-327-5500
Practice Address - Fax:570-326-3131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
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
PA0014471100001Medicaid