MEDICARE: WARREN COUNTY 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	:	1669553657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARREN COUNTY SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	6820 MARKET STREET EXT.
Second Line	:
City	:	RUSSELL
State	:	PA
Zip	:	16345-3406
Country	:	US
Telephone Number	:	814-723-8900
Fax Number	:	814-757-8536

Provider Business Practice Location Address
First Line	:	6820 MARKET STREET EXT.
Second Line	:
City	:	RUSSELL
State	:	PA
Zip	:	16345-3406
Country	:	US
Telephone Number	:	814-723-6900
Fax Number	:	814-757-8536

Authorized Official
Title or Position	:	DIRECTOR OF PUPIL SERVICE
Name	:	MS. PATRICIA A. HAWLEY
Credential	:
Telephone Number	:	814-723-6900

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	12/23/2015

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Directions to “WARREN COUNTY SCHOOL DISTRICT ” Practice Location

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