Healthcare Provider Details

I. General information

NPI: 1144286378
Provider Name (Legal Business Name): BIG SPRING 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

45 MOUNT ROCK RD
NEWVILLE PA
17241-9412
US

IV. Provider business mailing address

45 MOUNT ROCK RD
NEWVILLE PA
17241-9412
US

V. Phone/Fax

Practice location:
  • Phone: 717-776-2422
  • Fax:
Mailing address:
  • Phone: 717-776-2422
  • 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. RICHARD W FRY
Title or Position: SUPERINTENDENT
Credential:
Phone: 717-776-2412