Provider Demographics
NPI:1578618757
Name:IROQUOIS CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:IROQUOIS CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KENDALL-JAKUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-652-3000
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:ELMA
Mailing Address - State:NY
Mailing Address - Zip Code:14059-0032
Mailing Address - Country:US
Mailing Address - Phone:716-652-3000
Mailing Address - Fax:716-652-9305
Practice Address - Street 1:2111 GIRDLE RD
Practice Address - Street 2:
Practice Address - City:ELMA
Practice Address - State:NY
Practice Address - Zip Code:14059-9278
Practice Address - Country:US
Practice Address - Phone:716-652-3000
Practice Address - Fax:716-652-9305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01368978Medicaid