Provider Demographics
NPI:1164553996
Name:CHERRY VALLEY-SPRINGFIELD CENTRAL SCHOOL
Entity Type:Organization
Organization Name:CHERRY VALLEY-SPRINGFIELD CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-264-3265
Mailing Address - Street 1:PO BOX 485
Mailing Address - Street 2:
Mailing Address - City:CHERRY VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:13320-0485
Mailing Address - Country:US
Mailing Address - Phone:607-264-3265
Mailing Address - Fax:
Practice Address - Street 1:597 COUNTY HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:CHERRY VALLEY
Practice Address - State:NY
Practice Address - Zip Code:13320
Practice Address - Country:US
Practice Address - Phone:607-264-3265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
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
NY01379359Medicaid