Provider Demographics
NPI:1578606182
Name:CASSADAGA VALLEY CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CASSADAGA VALLEY CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCAVOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-962-5155
Mailing Address - Street 1:PO BOX 540
Mailing Address - Street 2:
Mailing Address - City:SINCLAIRVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14782-0540
Mailing Address - Country:US
Mailing Address - Phone:716-962-5155
Mailing Address - Fax:716-962-5976
Practice Address - Street 1:5935 RT 60
Practice Address - Street 2:
Practice Address - City:SINCLAIRVILLE
Practice Address - State:NY
Practice Address - Zip Code:14782-0540
Practice Address - Country:US
Practice Address - Phone:716-962-5155
Practice Address - Fax:716-962-5976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01367440Medicaid