MEDICARE: PENNWOOD CYBER CHARTER SCHOOL

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)

General Provider Information

NPI Number	:	1558218081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENNWOOD CYBER CHARTER SCHOOL

Provider Business Mailing Address
First Line	:	2951 WHITEFORD RD STE 204
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-7624
Country	:	US
Telephone Number	:	717-208-4463
Fax Number	:

Provider Business Practice Location Address
First Line	:	2951 WHITEFORD RD STE 204
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-7624
Country	:	US
Telephone Number	:	717-208-4463
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHRISTINA MOSER
Credential	:
Telephone Number	:	717-418-3025

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “PENNWOOD CYBER CHARTER SCHOOL ” Practice Location

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