MEDICARE: WESTERN WAYNE 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	:	1760418834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN WAYNE SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	1970 EASTON TPKE BLDG C
Second Line	:
City	:	LAKE ARIEL
State	:	PA
Zip	:	18436-4661
Country	:	US
Telephone Number	:	800-321-9973
Fax Number	:	570-341-1221

Provider Business Practice Location Address
First Line	:	1970 EASTON TPKE BLDG C
Second Line	:
City	:	LAKE ARIEL
State	:	PA
Zip	:	18436-4661
Country	:	US
Telephone Number	:	800-321-9973
Fax Number	:	570-341-1221

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	ROSE ELLEN EMMETT
Credential	:
Telephone Number	:	800-321-9973

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	01/12/2026

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Directions to “WESTERN WAYNE SCHOOL DISTRICT ” Practice Location

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