Provider Demographics
NPI:1871659722
Name:BEMUS POINT CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BEMUS POINT CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-386-2375
Mailing Address - Street 1:3980 DUTCH HOLLOW RD.
Mailing Address - Street 2:PO BOX 468
Mailing Address - City:BEMUS POINT
Mailing Address - State:NY
Mailing Address - Zip Code:14712
Mailing Address - Country:US
Mailing Address - Phone:716-386-2375
Mailing Address - Fax:716-386-2376
Practice Address - Street 1:3980 DUTCH HOLLOW RD.
Practice Address - Street 2:
Practice Address - City:BEMUS POINT
Practice Address - State:NY
Practice Address - Zip Code:14712
Practice Address - Country:US
Practice Address - Phone:716-386-2375
Practice Address - Fax:716-386-2376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01379088Medicaid