Provider Demographics
NPI:1356491559
Name:ORCHARD PARK CENTRAL SCHOOLS
Entity type:Organization
Organization Name:ORCHARD PARK CENTRAL SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGANUTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-209-6280
Mailing Address - Street 1:2240 SOUTHWESTERN BLVD.
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3330 BAKER RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1472
Practice Address - Country:US
Practice Address - Phone:716-209-6230
Practice Address - Fax:716-209-8184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01377146Medicaid