Provider Demographics
NPI:1851440564
Name:CATTARAUGUS LITTLE VALLEY CENTRAL SCHOOL
Entity Type:Organization
Organization Name:CATTARAUGUS LITTLE VALLEY CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BUSINESS EXECUTIVE
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-257-5296
Mailing Address - Street 1:25 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CATTARAUGUS
Mailing Address - State:NY
Mailing Address - Zip Code:14719-1105
Mailing Address - Country:US
Mailing Address - Phone:716-257-5296
Mailing Address - Fax:716-257-5298
Practice Address - Street 1:25 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CATTARAUGUS
Practice Address - State:NY
Practice Address - Zip Code:14719-1105
Practice Address - Country:US
Practice Address - Phone:716-257-5296
Practice Address - Fax:716-257-5298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04230204Medicaid