Provider Demographics
NPI:1154488096
Name:AUBURN ENLARGED CITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:AUBURN ENLARGED CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-255-8811
Mailing Address - Street 1:78 THORNTON AVE
Mailing Address - Street 2:HARRIET TUBMAN ADMINSTRATION BUILDING
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-4683
Mailing Address - Country:US
Mailing Address - Phone:315-255-8811
Mailing Address - Fax:315-255-8858
Practice Address - Street 1:78 THORNTON AVE
Practice Address - Street 2:HARRIET TUBMAN ADMINSTRATION BUILDING
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-4683
Practice Address - Country:US
Practice Address - Phone:315-255-8811
Practice Address - Fax:315-255-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01394352Medicaid