Provider Demographics
NPI:1255481560
Name:THOUSAND ISLANDS CENTRAL SCHOOL DISTRICTQ
Entity Type:Organization
Organization Name:THOUSAND ISLANDS CENTRAL SCHOOL DISTRICTQ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SWITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-686-5521
Mailing Address - Street 1:600 HIGH STREET
Mailing Address - Street 2:P. O. BOX 1000
Mailing Address - City:CLAYTON
Mailing Address - State:NY
Mailing Address - Zip Code:13624-1000
Mailing Address - Country:US
Mailing Address - Phone:315-686-5521
Mailing Address - Fax:315-686-5511
Practice Address - Street 1:600 HIGH ST
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NY
Practice Address - Zip Code:13624-1500
Practice Address - Country:US
Practice Address - Phone:315-686-5521
Practice Address - Fax:315-686-5511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01383260Medicaid