=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528942273
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TUSCARORA INTERMEDIATE UNIT 11
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2025
-----------------------------------------------------
Last Update Date | 08/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2527 US HIGHWAY 522 S
-----------------------------------------------------
City | MC VEYTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17051-9434
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-542-2501
-----------------------------------------------------
Fax | 814-542-2569
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2527 US HIGHWAY 522 S
-----------------------------------------------------
City | MC VEYTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17051-9434
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-542-2501
-----------------------------------------------------
Fax | 814-542-2569
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ACCESS MANAGER
-----------------------------------------------------
Name | LORI ANN ESPIGH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 814-542-2501
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------