Bangor Area School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BANGOR AREA SCHOOL DISTRICT

Practice address

123 Five Points Richmond Rd
Bangor, PA 18013-5224

Phone

(610) 588-2163

Fax

(610) 599-7040

NPI assigned

Apr 17, 2007

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

Mrs. Tracey Jacobi

Title

Director of Special Education

Phone

(610) 588-2163

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730305210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FIVE POINTS RICHMOND RD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180135224",
            "telephone_number": "610-588-2163",
            "fax_number": "610-599-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FIVE POINTS RICHMOND RD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180135224",
            "telephone_number": "610-588-2163",
            "fax_number": "610-599-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANGOR AREA SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBI",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "610-588-2163",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003025410002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarissa M. Alves, CD
• Melissa Amator, MS, MA
• Amber Petchonka
• Gregory Vaughan Appleton
• Elizabeth Rafiha Araman, M.S. CCC-SLP
• Bangor Chiropractic, Inc.
• Bangor Medical Center Inc PC
• Bangor Podiatry LLC
• Patricia G Baranowski, MA, CADC
• Michael Thomas Bauer, D.C.

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