MEDICARE: SPRING COVE 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	:	1629015599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING COVE SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	1100 E MAIN ST
Second Line	:
City	:	ROARING SPRING
State	:	PA
Zip	:	16673-1633
Country	:	US
Telephone Number	:	814-224-5124
Fax Number	:	814-224-5516

Provider Business Practice Location Address
First Line	:	1100 E MAIN ST
Second Line	:
City	:	ROARING SPRING
State	:	PA
Zip	:	16673-1633
Country	:	US
Telephone Number	:	814-224-5124
Fax Number	:	814-224-5516

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MR. STEVEN D. FOOR
Credential	:
Telephone Number	:	814-224-3014

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	08/03/2022

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Directions to “SPRING COVE SCHOOL DISTRICT ” Practice Location

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