Provider Demographics
NPI:1841257490
Name:COUNCIL ROCK SCHOOL DISTRICT
Entity type:Organization
Organization Name:COUNCIL ROCK SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:ESQUIRE
Authorized Official - Phone:215-944-1000
Mailing Address - Street 1:30 N CHANCELLOR ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-2202
Mailing Address - Country:US
Mailing Address - Phone:215-944-1000
Mailing Address - Fax:215-944-1061
Practice Address - Street 1:30 N CHANCELLOR ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-2202
Practice Address - Country:US
Practice Address - Phone:215-944-1000
Practice Address - Fax:215-944-1061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
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
PA0014888200001Medicaid