Provider Demographics
NPI:1093865404
Name:BOARD OF EDUCATION GILBOA-CONESVILLE CENTRAL SCHOOL
Entity Type:Organization
Organization Name:BOARD OF EDUCATION GILBOA-CONESVILLE CENTRAL SCHOOL
Other - Org Name:GILBOA-CONESVILLE CSD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:REEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-588-7541
Mailing Address - Street 1:132 WYCKOFF ROAD
Mailing Address - Street 2:
Mailing Address - City:GILBOA
Mailing Address - State:NY
Mailing Address - Zip Code:12076
Mailing Address - Country:US
Mailing Address - Phone:607-588-7541
Mailing Address - Fax:607-588-6820
Practice Address - Street 1:132 WYCKOFF RD
Practice Address - Street 2:
Practice Address - City:GILBOA
Practice Address - State:NY
Practice Address - Zip Code:12076-2023
Practice Address - Country:US
Practice Address - Phone:607-588-7541
Practice Address - Fax:607-588-6820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01398567Medicaid