Provider Demographics
NPI:1093865313
Name:CROWN POINT CENTRAL SCHOOL
Entity Type:Organization
Organization Name:CROWN POINT CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRANNOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-597-4200
Mailing Address - Street 1:BOX 35
Mailing Address - Street 2:MAIN STREET
Mailing Address - City:CROWN POINT
Mailing Address - State:NY
Mailing Address - Zip Code:12928-0035
Mailing Address - Country:US
Mailing Address - Phone:518-597-3285
Mailing Address - Fax:518-597-4121
Practice Address - Street 1:MAIN STREET
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:NY
Practice Address - Zip Code:12928-0035
Practice Address - Country:US
Practice Address - Phone:518-597-3285
Practice Address - Fax:518-597-4121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01402804Medicaid