Provider Demographics
NPI:1508913880
Name:WARRENSBURG CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WARRENSBURG CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:GORALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-623-2861
Mailing Address - Street 1:103 SCHROON RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12885-4803
Mailing Address - Country:US
Mailing Address - Phone:518-623-2861
Mailing Address - Fax:518-623-2436
Practice Address - Street 1:103 SCHROON RIVER RD
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:NY
Practice Address - Zip Code:12885-4803
Practice Address - Country:US
Practice Address - Phone:518-623-2861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01381057Medicaid