Provider Demographics
NPI:1356395867
Name:MCKEESPORT AREA SCHOOL DISTRICT
Entity type:Organization
Organization Name:MCKEESPORT AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:RISHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-664-3610
Mailing Address - Street 1:3590 ONEIL BLVD
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-1641
Mailing Address - Country:US
Mailing Address - Phone:412-664-3622
Mailing Address - Fax:412-664-3626
Practice Address - Street 1:3590 ONEIL BLVD
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-1641
Practice Address - Country:US
Practice Address - Phone:412-664-3622
Practice Address - Fax:412-664-3626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
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
PA1001922070002Medicaid