Healthcare Provider Details

I. General information

NPI: 1790741932
Provider Name (Legal Business Name): BLAIRSVILLE-SALTSBURG SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 SCHOOL LN
BLAIRSVILLE PA
15717-8709
US

IV. Provider business mailing address

102 SCHOOL LN
BLAIRSVILLE PA
15717-8709
US

V. Phone/Fax

Practice location:
  • Phone: 724-459-5500
  • Fax:
Mailing address:
  • Phone: 724-459-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StatePA

VIII. Authorized Official

Name: MR. ERIC KOCSIS
Title or Position: BUSINESS MANAGER
Credential: CPA/CBM
Phone: 724-459-5500