Provider Demographics
NPI:1245397157
Name:TOWN OF SHARON SHARON SPRINGS CENTRAL SCHOOL BORAD
Entity Type:Organization
Organization Name:TOWN OF SHARON SHARON SPRINGS CENTRAL SCHOOL BORAD
Other - Org Name:SHARON SPRINGS CENTRAL SCHOOL DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIPACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-284-2266
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:SHARON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:13459-0218
Mailing Address - Country:US
Mailing Address - Phone:518-284-2266
Mailing Address - Fax:518-284-9075
Practice Address - Street 1:514 STATE ROUTE 20
Practice Address - Street 2:
Practice Address - City:SHARON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:13459-0218
Practice Address - Country:US
Practice Address - Phone:518-284-2266
Practice Address - Fax:518-284-9075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01422059Medicaid