Provider Demographics
NPI:1356395032
Name:MONESSEN CITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:MONESSEN CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHELEN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:724-684-3600
Mailing Address - Street 1:1275 ROSTRAVER ST
Mailing Address - Street 2:
Mailing Address - City:MONESSEN
Mailing Address - State:PA
Mailing Address - Zip Code:15062-2049
Mailing Address - Country:US
Mailing Address - Phone:724-684-3600
Mailing Address - Fax:724-684-6782
Practice Address - Street 1:1275 ROSTRAVER ST
Practice Address - Street 2:
Practice Address - City:MONESSEN
Practice Address - State:PA
Practice Address - Zip Code:15062-2049
Practice Address - Country:US
Practice Address - Phone:724-684-3600
Practice Address - Fax:724-684-6782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
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
PA0016748250001Medicaid