Provider Demographics
NPI:1326103177
Name:HERMON DEKALB CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:HERMON DEKALB CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-347-3442
Mailing Address - Street 1:709 E. DEKALB ROAD
Mailing Address - Street 2:
Mailing Address - City:DEKALB JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:13630
Mailing Address - Country:US
Mailing Address - Phone:315-347-4920
Mailing Address - Fax:315-347-3817
Practice Address - Street 1:709 E. DEKALB ROAD
Practice Address - Street 2:
Practice Address - City:DEKALB JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:13630
Practice Address - Country:US
Practice Address - Phone:315-347-4920
Practice Address - Fax:315-347-3817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01508332Medicare ID - Type Unspecified