Provider Demographics
NPI:1235447012
Name:RED CREEK CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:RED CREEK CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEACHER HEARING IMP/ VISUALLY IMP
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:RENZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-754-2100
Mailing Address - Street 1:14109 WILDE RD
Mailing Address - Street 2:
Mailing Address - City:MARTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13111-3116
Mailing Address - Country:US
Mailing Address - Phone:315-564-7176
Mailing Address - Fax:
Practice Address - Street 1:14109 WILDE RD
Practice Address - Street 2:
Practice Address - City:MARTVILLE
Practice Address - State:NY
Practice Address - Zip Code:13111-3116
Practice Address - Country:US
Practice Address - Phone:315-564-7176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY689883251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)