Provider Demographics
NPI:1871530741
Name:SUSQUENITA SCHOOL DISTRICT
Entity type:Organization
Organization Name:SUSQUENITA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:A
Authorized Official - Last Name:KEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:717-957-6000
Mailing Address - Street 1:1725 SCHOOLHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:DUNCANNON
Mailing Address - State:PA
Mailing Address - Zip Code:17020-9582
Mailing Address - Country:US
Mailing Address - Phone:717-957-6000
Mailing Address - Fax:717-957-4173
Practice Address - Street 1:1725 SCHOOLHOUSE RD
Practice Address - Street 2:
Practice Address - City:DUNCANNON
Practice Address - State:PA
Practice Address - Zip Code:17020-9582
Practice Address - Country:US
Practice Address - Phone:717-957-6000
Practice Address - Fax:717-957-4173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014028070001Medicaid