Provider Demographics
NPI:1952458333
Name:WELLS CENTRAL SCHOOL
Entity Type:Organization
Organization Name:WELLS CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SINCAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-924-6000
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:1571 STATE ROUTE 30
Mailing Address - City:WELLS
Mailing Address - State:NY
Mailing Address - Zip Code:12190-0300
Mailing Address - Country:US
Mailing Address - Phone:518-924-6000
Mailing Address - Fax:518-924-9246
Practice Address - Street 1:ROUTE 30
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:NY
Practice Address - Zip Code:12190-0300
Practice Address - Country:US
Practice Address - Phone:518-924-6000
Practice Address - Fax:518-924-9246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0140370Medicaid