Provider Demographics
NPI:1598802860
Name:COLTON-PIERREPONT CENTRAL SCHOOL
Entity Type:Organization
Organization Name:COLTON-PIERREPONT CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-262-2100
Mailing Address - Street 1:4921 STATE HIGHWAY 56
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:NY
Mailing Address - Zip Code:13625
Mailing Address - Country:US
Mailing Address - Phone:315-262-2100
Mailing Address - Fax:315-262-2644
Practice Address - Street 1:4921 STATE HIGHWAY 56
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:NY
Practice Address - Zip Code:13625
Practice Address - Country:US
Practice Address - Phone:315-262-2100
Practice Address - Fax:315-262-2644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01409127Medicaid