Provider Demographics
NPI:1205993185
Name:ARKPORT CENTRAL SCHOOL
Entity type:Organization
Organization Name:ARKPORT CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:P
Authorized Official - Last Name:NILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-295-7471
Mailing Address - Street 1:35 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:ARKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14807-9409
Mailing Address - Country:US
Mailing Address - Phone:607-295-7412
Mailing Address - Fax:607-295-7473
Practice Address - Street 1:35 EAST AVE
Practice Address - Street 2:
Practice Address - City:ARKPORT
Practice Address - State:NY
Practice Address - Zip Code:14807-9409
Practice Address - Country:US
Practice Address - Phone:607-295-7471
Practice Address - Fax:607-295-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01402799Medicaid