Provider Demographics
NPI:1013889393
Name:APPALACHIA INTERMEDIATE UNIT
Entity type:Organization
Organization Name:APPALACHIA INTERMEDIATE UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT BUSINESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-940-0223
Mailing Address - Street 1:4500 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-1542
Mailing Address - Country:US
Mailing Address - Phone:814-940-0223
Mailing Address - Fax:
Practice Address - Street 1:4500 6TH AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-1542
Practice Address - Country:US
Practice Address - Phone:814-940-0223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APPALACHIA INTERMEDIATE UNIT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012985490003Medicaid