Provider Demographics
NPI:1033532478
Name:OPPENHEIM-EPHRATAH-ST.JOHNSVILLE CSD
Entity Type:Organization
Organization Name:OPPENHEIM-EPHRATAH-ST.JOHNSVILLE CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:METTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-568-2014
Mailing Address - Street 1:6486 STATE HIGHWAY 29
Mailing Address - Street 2:
Mailing Address - City:ST JOHNSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13452-2702
Mailing Address - Country:US
Mailing Address - Phone:518-568-2014
Mailing Address - Fax:518-568-2941
Practice Address - Street 1:6486 STATE HIGHWAY 29
Practice Address - Street 2:
Practice Address - City:ST JOHNSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13452-2702
Practice Address - Country:US
Practice Address - Phone:518-568-2014
Practice Address - Fax:518-568-2941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)