Beaver Area Academic Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BEAVER AREA ACADEMIC CHARTER SCHOOL

Practice address

855 Second St.
C/O Beaver Area SD
Beaver, PA 15009-2692

Phone

(724) 774-4010

Fax

(724) 774-8770

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By 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

Dr. Brian J White Jr., ED.D.

Title

Cao

Phone

(724) 774-4010

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1598940314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SECOND ST.",
            "address_2": "C/O BEAVER AREA SD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092692",
            "telephone_number": "724-774-4010",
            "fax_number": "724-774-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SECOND ST.",
            "address_2": "C/O BEAVER AREA SD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092692",
            "telephone_number": "724-774-4010",
            "fax_number": "724-774-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER AREA ACADEMIC CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "724-774-4010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020091510001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenefer L Barry, FNP
• Ashton Bartholow, MS, LBS
• Tiffany Dawn Bartoles, BS, MHS, CRNA
• John K Baska, MD
• Beaver Anesthesia Associates, Inc.
• Beaver Area School District
• Beaver County Psychiatric Services
• Beaver County Psychiatric Services
• Beaver County Psychiatric Services
• Beaver County Psychiatric Services

• Local Education Agency (LEA) in Beaver, PA
• Providers in Beaver, 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 Dec 31, 2007; 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.