Healthcare Provider Details

I. General information

NPI: 1942171202
Provider Name (Legal Business Name): RIVERVIEW INTERMEDIATE UNIT 6
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 MAYFIELD RD
CLARION PA
16214-4056
US

IV. Provider business mailing address

270 MAYFIELD RD
CLARION PA
16214-4056
US

V. Phone/Fax

Practice location:
  • Phone: 814-226-7103
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0012155550001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: MIRRANDA ARLINE BAUER
Title or Position: ASSISTANT FINANCE DIRECTOR
Credential:
Phone: 814-297-5125