Provider Demographics
NPI:1952466807
Name:SHERBURNE-EARLVILLE CENTRAL SCHOOL
Entity Type:Organization
Organization Name:SHERBURNE-EARLVILLE CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-674-7370
Mailing Address - Street 1:15 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:SHERBURNE
Mailing Address - State:NY
Mailing Address - Zip Code:13460-9505
Mailing Address - Country:US
Mailing Address - Phone:607-674-7370
Mailing Address - Fax:607-674-9742
Practice Address - Street 1:15 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:SHERBURNE
Practice Address - State:NY
Practice Address - Zip Code:13460-9505
Practice Address - Country:US
Practice Address - Phone:607-674-7370
Practice Address - Fax:607-674-9742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
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
NY01545335Medicaid