Provider Demographics
NPI:1013045541
Name:RIVERHEAD CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:RIVERHEAD CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PPS & SPECIAL EDUCATION
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPPELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-369-6800
Mailing Address - Street 1:700 OSBORNE AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-2912
Mailing Address - Country:US
Mailing Address - Phone:631-369-6717
Mailing Address - Fax:631-369-6718
Practice Address - Street 1:700 OSBORNE AVE
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2912
Practice Address - Country:US
Practice Address - Phone:631-369-6717
Practice Address - Fax:631-369-6718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01413785Medicaid