Provider Demographics
NPI:1932156635
Name:PUNXSUTAWNEY AREA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PUNXSUTAWNEY AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENSLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-938-5151
Mailing Address - Street 1:300 CENTER ST.
Mailing Address - Street 2:
Mailing Address - City:PUNXSUTAWNEY
Mailing Address - State:PA
Mailing Address - Zip Code:15767-1513
Mailing Address - Country:US
Mailing Address - Phone:814-938-5151
Mailing Address - Fax:814-938-6677
Practice Address - Street 1:300 CENTER ST.
Practice Address - Street 2:
Practice Address - City:PUNXSUTAWNEY
Practice Address - State:PA
Practice Address - Zip Code:15767-1513
Practice Address - Country:US
Practice Address - Phone:814-938-5151
Practice Address - Fax:814-938-6677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014384430001Medicaid