Provider Demographics
NPI:1053400846
Name:DUQUESNE CITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:DUQUESNE CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:
Authorized Official - Last Name:TIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-466-9600
Mailing Address - Street 1:300 KENNEDY AVE
Mailing Address - Street 2:
Mailing Address - City:DUQUESNE
Mailing Address - State:PA
Mailing Address - Zip Code:15110-1208
Mailing Address - Country:US
Mailing Address - Phone:412-466-8130
Mailing Address - Fax:412-466-8131
Practice Address - Street 1:300 KENNEDY AVE
Practice Address - Street 2:
Practice Address - City:DUQUESNE
Practice Address - State:PA
Practice Address - Zip Code:15110-1208
Practice Address - Country:US
Practice Address - Phone:412-466-8130
Practice Address - Fax:412-466-8131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014582120001Medicaid