1457306722 NPI number — OIL CITY AREA SCHOOL DISTRICT

Table of content: MONICA MERCON TEZOLIN BARROS ALMEIDA M.D. (NPI 1437411659)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457306722 NPI number — OIL CITY AREA SCHOOL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OIL CITY AREA SCHOOL DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457306722
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
825 GRANDVIEW RD
Provider Second Line Business Mailing Address:
PO BOX 929
Provider Business Mailing Address City Name:
OIL CITY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16301-2077
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-676-1867
Provider Business Mailing Address Fax Number:
814-676-2211

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
825 GRANDVIEW RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OIL CITY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16301-2077
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-676-1867
Provider Business Practice Location Address Fax Number:
814-676-2211
Provider Enumeration Date:
05/24/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FISHER
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
L
Authorized Official Title or Position:
BUSINESS MANAGER
Authorized Official Telephone Number:
814-676-1867

Provider Taxonomy Codes

  • Taxonomy code: 251300000X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0015100900001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".