Provider Demographics
NPI:1043376775
Name:CHATEAUGAY CENTRAL SCHOOL
Entity Type:Organization
Organization Name:CHATEAUGAY CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARRICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-497-6611
Mailing Address - Street 1:PO BOX 904
Mailing Address - Street 2:42 RIVER STREET
Mailing Address - City:CHATEAUGAY
Mailing Address - State:NY
Mailing Address - Zip Code:12920-0904
Mailing Address - Country:US
Mailing Address - Phone:518-497-6611
Mailing Address - Fax:518-497-3170
Practice Address - Street 1:42 RIVER STREET
Practice Address - Street 2:
Practice Address - City:CHATEAUGAY
Practice Address - State:NY
Practice Address - Zip Code:12920-0904
Practice Address - Country:US
Practice Address - Phone:518-497-6611
Practice Address - Fax:518-497-3170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01377435Medicaid