Provider Demographics
NPI:1336197169
Name:LINCOLN INTERMEDIATE UNIT
Entity Type:Organization
Organization Name:LINCOLN INTERMEDIATE UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:RISK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-624-6485
Mailing Address - Street 1:65 BILLERBECK ST
Mailing Address - Street 2:PO BOX 70
Mailing Address - City:NEW OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:17350-9375
Mailing Address - Country:US
Mailing Address - Phone:717-624-6469
Mailing Address - Fax:717-624-6519
Practice Address - Street 1:65 BILLERBECK ST
Practice Address - Street 2:
Practice Address - City:NEW OXFORD
Practice Address - State:PA
Practice Address - Zip Code:17350-9375
Practice Address - Country:US
Practice Address - Phone:717-624-6469
Practice Address - Fax:717-624-6519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
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
PA1007692010001Medicaid