MEDICARE: NORTHEASTERN EDUCATIONAL INTERMEDIATE UNIT 19

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	:	1972474344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHEASTERN EDUCATIONAL INTERMEDIATE UNIT 19

Provider Business Mailing Address
First Line	:	1200 LINE ST
Second Line	:
City	:	ARCHBALD
State	:	PA
Zip	:	18403-1918
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 LINE ST
Second Line	:
City	:	ARCHBALD
State	:	PA
Zip	:	18403-1918
Country	:	US
Telephone Number	:	570-876-9200
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF BUSINESS AFFAIRS
Name	:	JENNIFER HONICK
Credential	:
Telephone Number	:	570-876-9206

Provider Enumeration Date	:	09/17/2025
Last Update Date	:	09/17/2025

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Directions to “NORTHEASTERN EDUCATIONAL INTERMEDIATE UNIT 19 ” Practice Location

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