Healthcare Provider Details

I. General information

NPI: 1144256413
Provider Name (Legal Business Name): SPRING GROVE AREA SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E COLLEGE AVE
SPRING GROVE PA
17362-1200
US

IV. Provider business mailing address

100 E COLLEGE AVE
SPRING GROVE PA
17362-1200
US

V. Phone/Fax

Practice location:
  • Phone: 717-225-4731
  • Fax: 717-225-6028
Mailing address:
  • Phone: 717-225-4731
  • Fax: 717-225-6028

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. DONNA M HAKE
Title or Position: DIRECTOR OF PUPIL SERVICES
Credential:
Phone: 717-225-4731