Provider Demographics
NPI:1093086365
Name:BAINBRIDGE-GUILFORD CENTRAL SCHOOL
Entity Type:Organization
Organization Name:BAINBRIDGE-GUILFORD CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCDONOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-967-6330
Mailing Address - Street 1:43 GREENLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:13733-1139
Mailing Address - Country:US
Mailing Address - Phone:607-967-6330
Mailing Address - Fax:607-967-3080
Practice Address - Street 1:43 GREENLAWN AVE
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:NY
Practice Address - Zip Code:13733-1139
Practice Address - Country:US
Practice Address - Phone:607-967-6330
Practice Address - Fax:607-967-3080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2643511251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care