Provider Demographics
NPI:1326103508
Name:VOORHEESVILLE CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:VOORHEESVILLE CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT COORD. FOR SPECIAL PROGRAM
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-765-2382
Mailing Address - Street 1:129 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:VOORHEESVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12186-9726
Mailing Address - Country:US
Mailing Address - Phone:518-765-2382
Mailing Address - Fax:518-765-3842
Practice Address - Street 1:129 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:VOORHEESVILLE
Practice Address - State:NY
Practice Address - Zip Code:12186-9726
Practice Address - Country:US
Practice Address - Phone:518-765-2382
Practice Address - Fax:518-765-3842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
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
NY01392974Medicaid