Healthcare Provider Details

I. General information

NPI: 1205881208
Provider Name (Legal Business Name): NORTHERN CAMBRIA SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 JOSEPH ST
NORTHERN CAMBRIA PA
15714-1233
US

IV. Provider business mailing address

600 JOSEPH ST
NORTHERN CAMBRIA PA
15714-1233
US

V. Phone/Fax

Practice location:
  • Phone: 814-948-5880
  • Fax: 814-948-5561
Mailing address:
  • Phone: 814-948-5880
  • Fax: 814-948-5561

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. JOHN G LIZIK
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential:
Phone: 814-948-5880