Provider Demographics
NPI:1578688685
Name:BELFAST CENTRAL SCHOOL
Entity Type:Organization
Organization Name:BELFAST CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:LINGERFELTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-365-8289
Mailing Address - Street 1:1 KING ST
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:NY
Mailing Address - Zip Code:14711-8682
Mailing Address - Country:US
Mailing Address - Phone:585-365-2646
Mailing Address - Fax:585-365-2648
Practice Address - Street 1:1 KING ST
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:NY
Practice Address - Zip Code:14711-8682
Practice Address - Country:US
Practice Address - Phone:585-365-2646
Practice Address - Fax:585-365-2648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01377191Medicaid