Provider Demographics
NPI:1558489252
Name:FRANKLIN CENTRAL SCHOOL
Entity Type:Organization
Organization Name:FRANKLIN CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RENWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-829-3551
Mailing Address - Street 1:PO BOX 888
Mailing Address - Street 2:26 INSTITUTE ST
Mailing Address - City:FRANKLIN
Mailing Address - State:NY
Mailing Address - Zip Code:13775-0888
Mailing Address - Country:US
Mailing Address - Phone:607-829-3551
Mailing Address - Fax:607-829-2101
Practice Address - Street 1:26 INSTITUTE ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NY
Practice Address - Zip Code:13775-0888
Practice Address - Country:US
Practice Address - Phone:607-829-3551
Practice Address - Fax:607-829-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120701040000251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01445472Medicaid