Provider Demographics
NPI:1013061225
Name:HARRISVILLE CENTRAL SCHOOL
Entity type:Organization
Organization Name:HARRISVILLE CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SCHOOL BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-543-2707
Mailing Address - Street 1:14371 PIRATE LN
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13648-3339
Mailing Address - Country:US
Mailing Address - Phone:315-543-2707
Mailing Address - Fax:315-543-2360
Practice Address - Street 1:14371 PIRATE LN
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:NY
Practice Address - Zip Code:13648-3339
Practice Address - Country:US
Practice Address - Phone:315-543-2707
Practice Address - Fax:315-543-2360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
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
NY01500843Medicaid