Provider Demographics
NPI:1679526248
Name:KISKI AREA SCHOOL DISTRICT
Entity type:Organization
Organization Name:KISKI AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SUPPORT SERVICE
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILKE
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED, CAGS
Authorized Official - Phone:724-842-0452
Mailing Address - Street 1:200 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:VANDERGRIFT
Mailing Address - State:PA
Mailing Address - Zip Code:15690-1466
Mailing Address - Country:US
Mailing Address - Phone:724-842-0452
Mailing Address - Fax:724-842-4440
Practice Address - Street 1:200 POPLAR ST
Practice Address - Street 2:
Practice Address - City:VANDERGRIFT
Practice Address - State:PA
Practice Address - Zip Code:15690-1466
Practice Address - Country:US
Practice Address - Phone:724-842-0452
Practice Address - Fax:724-842-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
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
PA1009676380001Medicaid