Lackawanna Trail School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

LACKAWANNA TRAIL SCHOOL DISTRICT

Practice address

178 College Ave
Factoryville, PA 18419-0085

Phone

(570) 945-5184

Fax

(570) 945-3154

NPI assigned

Jun 27, 2006

Last updated

Aug 22, 2020By 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

Mr. David Homish

Title

Business Manager

Phone

(570) 945-5184

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538196597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 COLLEGE AVE",
            "address_2": "PO BOX 85",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184190085",
            "telephone_number": "570-945-5184",
            "fax_number": "570-945-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 COLLEGE AVE",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184190085",
            "telephone_number": "570-945-5184",
            "fax_number": "570-945-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACKAWANNA TRAIL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOMISH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "570-945-5184",
        "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": "0014968860001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Factoryville, PA
• Providers in Factoryville, 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 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.