Organization Active NPI

Northwest Tri-County Intermediate Unit

  • Local Education Agency (LEA)
  • Edinboro, PA
National Provider Identifier
1720960412
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
NORTHWEST TRI-COUNTY INTERMEDIATE UNIT
Practice address
252 Waterford St
Edinboro, PA 16412-2315
Phone
(814) 734-5610
NPI assigned
Jul 23, 2025
Organization subpart
Yes
Parent organization
NORTHWEST TRI-COUNTY INTERMEDIATE UNITAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Jessica Polivka
Title
Support Services Supervisor
Phone
(814) 734-5610

Specialties & licenses 1

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

Addresses

Primary practice location

252 Waterford St
Edinboro, PA 16412-2315

Mailing address

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

Other names 1

  • Northwest Tri-County IU5 Other name

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.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1720960412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 WATERFORD ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122315",
            "telephone_number": "814-734-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 WATERFORD ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122315",
            "telephone_number": "814-734-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TRI-COUNTY INTERMEDIATE UNIT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST TRI-COUNTY INTERMEDIATE UNIT",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "POLIVKA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SUPPORT SERVICES SUPERVISOR",
        "authorized_official_telephone_number": "814-734-5610"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Tri-County IU5",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 23, 2025; 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.