Provider Demographics
NPI:1770633711
Name:HANNIBAL CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:HANNIBAL CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIFABIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-564-7900
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:928 CAYUGA ST
Mailing Address - City:HANNIBAL
Mailing Address - State:NY
Mailing Address - Zip Code:13074
Mailing Address - Country:US
Mailing Address - Phone:315-564-7900
Mailing Address - Fax:315-564-7263
Practice Address - Street 1:928 CAYUGA STREET
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:NY
Practice Address - Zip Code:13074
Practice Address - Country:US
Practice Address - Phone:315-564-7900
Practice Address - Fax:315-564-7263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01398585Medicaid