Healthcare Provider Details

I. General information

NPI: 1548384308
Provider Name (Legal Business Name): TURKEYFOOT VALLEY AREA SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 TURKEYFOOT RD
CONFLUENCE PA
15424-2420
US

IV. Provider business mailing address

172 TURKEYFOOT RD
CONFLUENCE PA
15424-2420
US

V. Phone/Fax

Practice location:
  • Phone: 814-395-3621
  • Fax: 814-395-3366
Mailing address:
  • Phone: 814-395-3621
  • Fax: 814-395-3366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

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

# 1
Identifier0014146570001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: MR. RICHARD F TONER
Title or Position: SUPERINTENDENT
Credential:
Phone: 814-395-3624