Provider Demographics
NPI:1043688484
Name:HERKIMER BOCES
Entity Type:Organization
Organization Name:HERKIMER BOCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CULVER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:315-360-0201
Mailing Address - Street 1:77 E NORTH ST
Mailing Address - Street 2:
Mailing Address - City:ILION
Mailing Address - State:NY
Mailing Address - Zip Code:13357-1269
Mailing Address - Country:US
Mailing Address - Phone:315-867-2013
Mailing Address - Fax:
Practice Address - Street 1:77 E NORTH ST
Practice Address - Street 2:
Practice Address - City:ILION
Practice Address - State:NY
Practice Address - Zip Code:13357-1269
Practice Address - Country:US
Practice Address - Phone:315-867-2013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY702670251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care