Provider Demographics
NPI:1053466839
Name:NORTHVILLE CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NORTHVILLE CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-863-7000
Mailing Address - Street 1:PO BOX 608
Mailing Address - Street 2:131 SOUTH THIRD STREET
Mailing Address - City:NORTHVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12134-0608
Mailing Address - Country:US
Mailing Address - Phone:518-863-7000
Mailing Address - Fax:518-863-9197
Practice Address - Street 1:131 SOUTH THIRD STREET
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:NY
Practice Address - Zip Code:12134-0608
Practice Address - Country:US
Practice Address - Phone:518-863-7000
Practice Address - Fax:518-863-9197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01469878Medicaid