Provider Demographics
NPI:1326105834
Name:OSWEGO CITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:OSWEGO CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SQUAIRS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-341-2044
Mailing Address - Street 1:120 EAST FIRST STREET
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126
Mailing Address - Country:US
Mailing Address - Phone:315-341-2044
Mailing Address - Fax:315-341-2912
Practice Address - Street 1:120 E 1ST ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-2114
Practice Address - Country:US
Practice Address - Phone:315-341-2006
Practice Address - Fax:315-341-2912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01398952Medicaid