Provider Demographics
NPI:1851448997
Name:CALEDONIA MUMFORD CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CALEDONIA MUMFORD CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:DONEGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-538-3401
Mailing Address - Street 1:99 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14423-1065
Mailing Address - Country:US
Mailing Address - Phone:585-538-3401
Mailing Address - Fax:585-538-3450
Practice Address - Street 1:99 NORTH ST
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:NY
Practice Address - Zip Code:14423-1065
Practice Address - Country:US
Practice Address - Phone:585-538-3401
Practice Address - Fax:585-538-3450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01379193Medicaid