MEDICARE: PALMYRA 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	:	1376590448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALMYRA AREA SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	1125 PARK DR
Second Line	:
City	:	PALMYRA
State	:	PA
Zip	:	17078-3447
Country	:	US
Telephone Number	:	717-838-3144
Fax Number	:	717-838-5105

Provider Business Practice Location Address
First Line	:	1125 PARK DR
Second Line	:
City	:	PALMYRA
State	:	PA
Zip	:	17078-3447
Country	:	US
Telephone Number	:	717-838-3144
Fax Number	:	717-838-5105

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. LARRY SCHMIDT
Credential	:	DR.
Telephone Number	:	717-838-3144

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	08/22/2020

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Directions to “PALMYRA AREA SCHOOL DISTRICT ” Practice Location

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