Organization Active NPI

Elizabeth Forward School District

  • Local Education Agency (LEA)
  • Elizabeth, PA
National Provider Identifier
1124195730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ELIZABETH FORWARD SCHOOL DISTRICT
Practice address
401 Rock Run Rd
Elizabeth, PA 15037-2416
Phone
(412) 896-2392
Fax
(412) 751-5206
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Glenn P Shell
Title
Director of Pupil Personnel Serv.
Phone
(412) 896-2309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X PA Primary

Addresses

Primary practice location

401 Rock Run Rd
Elizabeth, PA 15037-2416

Mailing address

401 Rock Run Rd
Elizabeth, PA 15037-2416
Phone (412) 896-2392

Other identifiers 1

IdentifierTypeStateIssuer
0012945770001MedicaidPA

National Provider Directory

National Provider Directory

Locations

401 Rock Run Rd
Elizabeth, PA 15037
Phone (412) 896-2392

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124195730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROCK RUN RD",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372416",
            "telephone_number": "412-896-2392",
            "fax_number": "412-751-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROCK RUN RD",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372416",
            "telephone_number": "412-896-2392",
            "fax_number": "412-751-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH FORWARD SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR OF PUPIL PERSONNEL SERV.",
        "authorized_official_telephone_number": "412-896-2309",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012945770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.