Provider Demographics
NPI:1073663894
Name:OXFORD ACADEMY & CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:OXFORD ACADEMY & CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:GUGINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-843-2025
Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:FORT HILL PARK
Mailing Address - City:OXFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13830-0192
Mailing Address - Country:US
Mailing Address - Phone:607-843-2025
Mailing Address - Fax:607-843-3241
Practice Address - Street 1:12 FORT HILL PARK
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NY
Practice Address - Zip Code:13830-0192
Practice Address - Country:US
Practice Address - Phone:607-843-2025
Practice Address - Fax:607-843-3241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01379597Medicaid