=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689703282
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOUTH BUTLER COUNTY SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 328 KNOCH RD
-----------------------------------------------------
City | SAXONBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16056-9322
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-352-1700
-----------------------------------------------------
Fax | 724-352-3622
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 328 KNOCH RD
-----------------------------------------------------
City | SAXONBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16056-9322
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-352-1700
-----------------------------------------------------
Fax | 724-352-3622
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERINTENDENT
-----------------------------------------------------
Name | DR. PATRICK T O'TOOLE
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 724-352-1700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------