Provider Demographics
NPI:1265599559
Name:CHITTENANGO CENTRAL SCHOOL
Entity type:Organization
Organization Name:CHITTENANGO CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPT FOR BUSINESS
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:P
Authorized Official - Last Name:MAHARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-687-2857
Mailing Address - Street 1:1732 FYLER RD
Mailing Address - Street 2:
Mailing Address - City:CHITTENANGO
Mailing Address - State:NY
Mailing Address - Zip Code:13037-8522
Mailing Address - Country:US
Mailing Address - Phone:315-687-2846
Mailing Address - Fax:315-687-2845
Practice Address - Street 1:1732 FYLER RD
Practice Address - Street 2:
Practice Address - City:CHITTENANGO
Practice Address - State:NY
Practice Address - Zip Code:13037-8522
Practice Address - Country:US
Practice Address - Phone:315-687-2846
Practice Address - Fax:315-687-2845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01434959Medicaid