Provider Demographics
NPI:1043377526
Name:MARATHON CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MARATHON CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:FRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-849-3224
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:NY
Mailing Address - Zip Code:13803-0339
Mailing Address - Country:US
Mailing Address - Phone:607-849-3251
Mailing Address - Fax:607-849-3305
Practice Address - Street 1:1 E. MAIN ST.
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:NY
Practice Address - Zip Code:13803-0339
Practice Address - Country:US
Practice Address - Phone:607-849-3251
Practice Address - Fax:607-849-3305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
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
NY01367422Medicaid