Provider Demographics
NPI:1154472918
Name:UNADILLA VALLEY CENTRAL SCHOOL
Entity Type:Organization
Organization Name:UNADILLA VALLEY CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICIAL TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-847-7500
Mailing Address - Street 1:4238 STATE HIGHWAY 8
Mailing Address - Street 2:PO BOX F
Mailing Address - City:NEW BERLIN
Mailing Address - State:NY
Mailing Address - Zip Code:13411-2614
Mailing Address - Country:US
Mailing Address - Phone:607-847-7500
Mailing Address - Fax:607-847-9194
Practice Address - Street 1:4238 STATE HIGHWAY 8
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:NY
Practice Address - Zip Code:13411-2614
Practice Address - Country:US
Practice Address - Phone:607-847-7500
Practice Address - Fax:607-847-9194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2012-10-15
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01377646Medicaid