NPIMap

Organization Active NPI

Northwest Tri-County Intermediate Unit # 5

  • Early Intervention Provider Agency
  • Edinboro, PA
National Provider Identifier
1669857876
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
NORTHWEST TRI-COUNTY INTERMEDIATE UNIT # 5
Practice address
252 Waterford Street
Edinboro, PA 16412-2315
Phone
(814) 734-5610
Fax
(814) 734-5806
NPI assigned
Jul 29, 2015
Organization subpart
Yes
Parent organization
NORTHWEST TRI-COUNTY INTERMEDIATE UNIT 5As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Mr. Frederick C. Johnson, ED.D
Title
Executive Director
Phone
(814) 734-8401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

252 Waterford Street
Edinboro, PA 16412-2315

Mailing address

252 Waterford Street
Edinboro, PA 16412-2315
Phone (814) 734-5610

National Provider Directory

National Provider Directory
Tax ID family
Northwest Tri-County Intermediate Unit 54 organizations share this tax ID, including this one
Part of
Northwest Tri-County Intermediate Unit 5

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1669857876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 WATERFORD STREET",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122315",
            "telephone_number": "814-734-5610",
            "fax_number": "814-734-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 WATERFORD STREET",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122315",
            "telephone_number": "814-734-5610",
            "fax_number": "814-734-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TRI-COUNTY INTERMEDIATE UNIT # 5",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST TRI-COUNTY INTERMEDIATE UNIT 5",
        "enumeration_date": "2015-07-29",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-734-8401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.