Provider Demographics
NPI:1518022375
Name:COBLESKILL-RICHMONDVILLE CENTRAL SCHOOL
Entity Type:Organization
Organization Name:COBLESKILL-RICHMONDVILLE CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRALEIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-234-4032
Mailing Address - Street 1:155 WASHINGTON AVE.
Mailing Address - Street 2:
Mailing Address - City:COBLESKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12043
Mailing Address - Country:US
Mailing Address - Phone:518-234-4032
Mailing Address - Fax:518-234-2846
Practice Address - Street 1:155 WASHINGTON AVE.
Practice Address - Street 2:
Practice Address - City:COBLESKILL
Practice Address - State:NY
Practice Address - Zip Code:12043
Practice Address - Country:US
Practice Address - Phone:518-234-4032
Practice Address - Fax:518-234-2846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01419305Medicaid