Provider Demographics
NPI:1992841704
Name:BEDFORD CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BEDFORD CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SUPT. FOR BUSINESS & ADMIN.
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:L
Authorized Official - Last Name:BETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-241-6020
Mailing Address - Street 1:PO BOX 180
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-0180
Mailing Address - Country:US
Mailing Address - Phone:914-241-6020
Mailing Address - Fax:914-241-6176
Practice Address - Street 1:632 SOUTH BEDFORD ROAD
Practice Address - Street 2:US ROUTE 172
Practice Address - City:BEDFORD
Practice Address - State:NY
Practice Address - Zip Code:10506
Practice Address - Country:US
Practice Address - Phone:914-241-6020
Practice Address - Fax:914-241-6176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
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
NY01516458Medicaid