Provider Demographics
NPI:1457406258
Name:HOOSICK FALLS CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:HOOSICK FALLS CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FACIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-686-7012
Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:
Mailing Address - City:HOOSICK FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12090
Mailing Address - Country:US
Mailing Address - Phone:518-686-7012
Mailing Address - Fax:518-686-9060
Practice Address - Street 1:21187 NY ROUTE 22
Practice Address - Street 2:
Practice Address - City:HOOSICK FALLS
Practice Address - State:NY
Practice Address - Zip Code:12090
Practice Address - Country:US
Practice Address - Phone:518-686-7012
Practice Address - Fax:518-686-9060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01390601Medicaid