National Provider Identifier Database

BLAST IU17
Local Education Agency (LEA)

The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 ? 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.


Contact Information

BLAST IU17
RR 2 BOX 3364
CANTON, PA17724-8651
Phone: 570-673-6001
Fax: 570-673-6007
Website:
Specialty Taxonomy Code
* Local Education Agency (LEA) 251300000X

* Indicates primary specialty

NPI Profile & details for BLAST IU17

NPI Number 1457410193
Legal business name
LBN
BLAST IU17
Authorized official JOHN BRENCHLEY - (DIRECTOR OF MANAGEMENT SERVICES)
Entity Organization
Organization subpart No
Enumeration date 12/08/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 0012155910001

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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