Provider Demographics
NPI:1841336088
Name:PHOENIXVILLE AREA SCHOOL DISTRICT
Entity type:Organization
Organization Name:PHOENIXVILLE AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:FEGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:484-927-5010
Mailing Address - Street 1:386 CITY LINE AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-4457
Mailing Address - Country:US
Mailing Address - Phone:484-927-5000
Mailing Address - Fax:610-933-3189
Practice Address - Street 1:386 CITY LINE AVE
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-4457
Practice Address - Country:US
Practice Address - Phone:484-927-5000
Practice Address - Fax:610-933-3189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1017902460001Medicaid