=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083670657
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALTOONA AREA SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2006
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1221 6TH AVE
-----------------------------------------------------
City | ALTOONA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16602-2425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-940-6954
-----------------------------------------------------
Fax | 814-946-8390
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1221 6TH AVE
-----------------------------------------------------
City | ALTOONA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16602-2425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-940-6954
-----------------------------------------------------
Fax | 814-946-8390
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF SPECIAL EDUCATION
-----------------------------------------------------
Name | MS. MICHELE SANDERS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 814-946-8252
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
=====================================================
Legacy Identifiers
=====================================================
Identifier #1
-----------------------------------------------------
Identifier Code | 0012945590001
-----------------------------------------------------
Identifier Type | MEDICAID
-----------------------------------------------------
Identifier State | PA
-----------------------------------------------------
Identifier Issuer |
-----------------------------------------------------
=====================================================
Proprietary Identifiers Ever Reported
=====================================================
Identifier #1
-----------------------------------------------------
Identifier Code | 0012945590001
-----------------------------------------------------
Identifier Type | MEDICAID
-----------------------------------------------------
Identifier State | PA
-----------------------------------------------------
Identifier Issuer |
-----------------------------------------------------