Provider Demographics
NPI:1669553657
Name:WARREN COUNTY SCHOOL DISTRICT
Entity type:Organization
Organization Name:WARREN COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL SERVICE
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-723-6900
Mailing Address - Street 1:6820 MARKET STREET EXT.
Mailing Address - Street 2:
Mailing Address - City:RUSSELL
Mailing Address - State:PA
Mailing Address - Zip Code:16345-3406
Mailing Address - Country:US
Mailing Address - Phone:814-723-8900
Mailing Address - Fax:814-757-8536
Practice Address - Street 1:6820 MARKET STREET EXT.
Practice Address - Street 2:
Practice Address - City:RUSSELL
Practice Address - State:PA
Practice Address - Zip Code:16345-3406
Practice Address - Country:US
Practice Address - Phone:814-723-6900
Practice Address - Fax:814-757-8536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017615550001Medicaid