Provider Demographics
NPI:1740326032
Name:GALWAY CENTRAL SCHOOL
Entity type:Organization
Organization Name:GALWAY CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-882-5042
Mailing Address - Street 1:5317 SACANDAGA ROAD
Mailing Address - Street 2:
Mailing Address - City:GALWAY
Mailing Address - State:NY
Mailing Address - Zip Code:12074-0130
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:518-882-5250
Practice Address - Street 1:5317 SACANDAGA ROAD
Practice Address - Street 2:
Practice Address - City:GALWAY
Practice Address - State:NY
Practice Address - Zip Code:12074-0130
Practice Address - Country:US
Practice Address - Phone:518-882-5042
Practice Address - Fax:518-882-5250
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
NY01381882Medicaid