Provider Demographics
NPI:1356658587
Name:JEFFERSON-LEWIS-HAMILTON-HERKIMER-ONEIDA BOCES
Entity Type:Organization
Organization Name:JEFFERSON-LEWIS-HAMILTON-HERKIMER-ONEIDA BOCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-779-7000
Mailing Address - Street 1:20104 STATE ROUTE 3
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-5560
Mailing Address - Country:US
Mailing Address - Phone:315-779-7000
Mailing Address - Fax:
Practice Address - Street 1:20104 STATE ROUTE 3
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-5560
Practice Address - Country:US
Practice Address - Phone:315-779-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)