Healthcare Provider Details

I. General information

NPI: 1598713331
Provider Name (Legal Business Name): TUSCARORA INTERMEDIATE UNIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2527 US HIGHWAY 522 S
MC VEYTOWN PA
17051-9434
US

IV. Provider business mailing address

2527 US HIGHWAY 522 S
MC VEYTOWN PA
17051-9434
US

V. Phone/Fax

Practice location:
  • Phone: 814-542-2501
  • Fax: 814-542-2569
Mailing address:
  • Phone: 814-542-2501
  • Fax: 814-542-2569

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: MS. SANDRA A DINARDI
Title or Position: DIRECTOR FOR SPECIAL EDUCATION
Credential:
Phone: 814-542-2501