Provider Demographics
NPI:1922158138
Name:BEACON CITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BEACON CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONDELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-838-6900
Mailing Address - Street 1:10 EDUCATION DR
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-4066
Mailing Address - Country:US
Mailing Address - Phone:845-838-6900
Mailing Address - Fax:845-838-6933
Practice Address - Street 1:10 EDUCATION DR
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-4066
Practice Address - Country:US
Practice Address - Phone:845-838-6900
Practice Address - Fax:845-838-6933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0156825Medicaid