Provider Demographics
NPI:1790841567
Name:HINSDALE CENTRAL SCHOOL
Entity Type:Organization
Organization Name:HINSDALE CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LJUNGBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-557-2227
Mailing Address - Street 1:3701 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:14743-9769
Mailing Address - Country:US
Mailing Address - Phone:716-557-2227
Mailing Address - Fax:716-557-2259
Practice Address - Street 1:3701 MAIN ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:NY
Practice Address - Zip Code:14743-9769
Practice Address - Country:US
Practice Address - Phone:716-557-2227
Practice Address - Fax:716-557-2259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01469901Medicaid