Provider Demographics
NPI:1336205087
Name:SOUTH GLENS FALLS CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SOUTH GLENS FALLS CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:518-793-9617
Mailing Address - Street 1:6 BLUEBIRD RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12803-5704
Mailing Address - Country:US
Mailing Address - Phone:518-793-9617
Mailing Address - Fax:518-761-0723
Practice Address - Street 1:6 BLUEBIRD RD
Practice Address - Street 2:
Practice Address - City:SOUTH GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12803-5704
Practice Address - Country:US
Practice Address - Phone:518-793-9617
Practice Address - Fax:518-761-0723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
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
NY01383320Medicaid