Provider Demographics
NPI:1699733451
Name:CENTRAL INTERMEDIATE UNIT
Entity type:Organization
Organization Name:CENTRAL INTERMEDIATE UNIT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL ACCESS COORDINATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:
Authorized Official - Last Name:DANKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-342-0884
Mailing Address - Street 1:345 LINK RD
Mailing Address - Street 2:
Mailing Address - City:WEST DECATUR
Mailing Address - State:PA
Mailing Address - Zip Code:16878-8317
Mailing Address - Country:US
Mailing Address - Phone:800-982-3375
Mailing Address - Fax:814-342-5137
Practice Address - Street 1:200 SHADY LN STE 120
Practice Address - Street 2:
Practice Address - City:PHILIPSBURG
Practice Address - State:PA
Practice Address - Zip Code:16866-1985
Practice Address - Country:US
Practice Address - Phone:814-342-0884
Practice Address - Fax:814-342-5137
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL INTERMEDIATE UNIT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-02
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251300000X
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0013004870001Medicaid