Provider Demographics
NPI:1952451122
Name:MOHAWK CENTRAL SCHOOL
Entity Type:Organization
Organization Name:MOHAWK CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-867-2908
Mailing Address - Street 1:28 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MOHAWK
Mailing Address - State:NY
Mailing Address - Zip Code:13407-1200
Mailing Address - Country:US
Mailing Address - Phone:315-867-2908
Mailing Address - Fax:
Practice Address - Street 1:28 GROVE ST
Practice Address - Street 2:
Practice Address - City:MOHAWK
Practice Address - State:NY
Practice Address - Zip Code:13407-1200
Practice Address - Country:US
Practice Address - Phone:315-867-2908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01366958Medicaid