Provider Demographics
NPI:1861578528
Name:PINE-RICHLAND SCHOOL DISTRICT
Entity type:Organization
Organization Name:PINE-RICHLAND SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLMIC
Authorized Official - Suffix:
Authorized Official - Credentials:DED
Authorized Official - Phone:724-625-7773
Mailing Address - Street 1:702 WARRENDALE RD
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-6175
Mailing Address - Country:US
Mailing Address - Phone:724-626-7773
Mailing Address - Fax:
Practice Address - Street 1:702 WARRENDALE RD
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-6175
Practice Address - Country:US
Practice Address - Phone:724-626-7773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
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
PA0014578410001Medicaid