Provider Demographics
NPI:1871847624
Name:ROME CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ROME CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINDENT OF SCHOOL
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-338-6521
Mailing Address - Street 1:409 BELL RD S
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-3864
Mailing Address - Country:US
Mailing Address - Phone:315-338-6500
Mailing Address - Fax:315-334-7408
Practice Address - Street 1:409 BELL RD S
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-3864
Practice Address - Country:US
Practice Address - Phone:315-338-6500
Practice Address - Fax:315-334-7408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179121390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty