MEDICARE: WALLENPAUPACK AREA SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174563522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALLENPAUPACK AREA SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	2552 ROUTE 6
Second Line	:
City	:	HAWLEY
State	:	PA
Zip	:	18428-7045
Country	:	US
Telephone Number	:	570-226-4557
Fax Number	:	570-226-0838

Provider Business Practice Location Address
First Line	:	2552 ROUTE 6
Second Line	:
City	:	HAWLEY
State	:	PA
Zip	:	18428-7045
Country	:	US
Telephone Number	:	570-226-4557
Fax Number	:	570-226-0838

Authorized Official
Title or Position	:	BUSINESS ADMINISTRATOR
Name	:	MS. KERRIANN HORAN
Credential	:
Telephone Number	:	570-226-4557

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	12/03/2025

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Directions to “WALLENPAUPACK AREA SCHOOL DISTRICT ” Practice Location

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