Provider Demographics
NPI:1578618344
Name:CORINTH CENTRAL SCHOOL
Entity Type:Organization
Organization Name:CORINTH CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-654-9005
Mailing Address - Street 1:105 OAK ST
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:NY
Mailing Address - Zip Code:12822-1203
Mailing Address - Country:US
Mailing Address - Phone:518-654-9005
Mailing Address - Fax:518-654-6749
Practice Address - Street 1:105 OAK ST
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:NY
Practice Address - Zip Code:12822-1203
Practice Address - Country:US
Practice Address - Phone:518-654-9005
Practice Address - Fax:518-654-6749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01398521Medicaid