Provider Demographics
NPI:1376839670
Name:RUSH HENRIETTA CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:RUSH HENRIETTA CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSETEACHER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LECHNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, SNT, MSED
Authorized Official - Phone:585-359-5560
Mailing Address - Street 1:2000 LEHIGH STATION RD
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14467-9620
Mailing Address - Country:US
Mailing Address - Phone:585-359-5550
Mailing Address - Fax:
Practice Address - Street 1:2000 LEHIGH STATION RD
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:NY
Practice Address - Zip Code:14467-9620
Practice Address - Country:US
Practice Address - Phone:585-359-5550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01497492Medicaid