Provider Demographics
NPI:1497892566
Name:PINE PLAINS CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PINE PLAINS CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SUPERINTENDENT FOR BUSINESS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-398-7181
Mailing Address - Street 1:2829 CHURCH ST
Mailing Address - Street 2:DISTRICT OFFICE
Mailing Address - City:PINE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:12567-5545
Mailing Address - Country:US
Mailing Address - Phone:518-398-7181
Mailing Address - Fax:518-398-6592
Practice Address - Street 1:2829 CHURCH ST
Practice Address - Street 2:DISTRICT OFFICE
Practice Address - City:PINE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:12567-5545
Practice Address - Country:US
Practice Address - Phone:518-398-7181
Practice Address - Fax:518-398-6592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01452395Medicaid