Tidioute Community Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

TIDIOUTE COMMUNITY CHARTER SCHOOL

Practice address

241 Main St
Tidioute, PA 16351-1222

Phone

(814) 484-3550

Fax

(814) 484-3977

NPI assigned

Apr 30, 2013

Last updated

Apr 30, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas L Allen, DOCTORATE

Title

Ceo

Phone

(814) 484-3550

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1053756429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 MAIN ST",
            "city": "TIDIOUTE",
            "state": "PA",
            "postal_code": "163511222",
            "telephone_number": "814-484-3550",
            "fax_number": "814-484-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 MAIN ST",
            "city": "TIDIOUTE",
            "state": "PA",
            "postal_code": "163511222",
            "telephone_number": "814-484-3550",
            "fax_number": "814-484-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDIOUTE COMMUNITY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-484-3550",
        "authorized_official_credential": "DOCTORATE"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darling Apothecary LLC (Darling's Tidioute Pharmacy)
• Jennifer Lynn Grasinger, MPT
• Janet M Kristobak
• Primary Health Network (Tidioute Health Center)
• Tidioute Area Volunteer Fire Dept Inc

• Local Education Agency (LEA) in Tidioute, PA
• Providers in Tidioute, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.