1710943741 NPI number — CHELTENHAM TOWNSHIP SCHOOL DISTRICT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710943741 NPI number — CHELTENHAM TOWNSHIP SCHOOL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHELTENHAM TOWNSHIP 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:
1710943741
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:
1000 ASHBOURNE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ELKINS PARK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19027-1031
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-881-6340
Provider Business Mailing Address Fax Number:
215-884-3168

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 ASHBOURNE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELKINS PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19027-1031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-881-6340
Provider Business Practice Location Address Fax Number:
215-884-3168
Provider Enumeration Date:
04/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BUTLER
Authorized Official First Name:
CRAIG
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF BUSINESS AFFAIRS
Authorized Official Telephone Number:
215-881-6341

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: 1003315610007 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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