Provider Demographics
NPI:1649317561
Name:MOUNT VERNON CITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:MOUNT VERNON CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:D
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-665-7546
Mailing Address - Street 1:165 N COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-1101
Mailing Address - Country:US
Mailing Address - Phone:914-665-7546
Mailing Address - Fax:914-665-3395
Practice Address - Street 1:165 N COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10553-1101
Practice Address - Country:US
Practice Address - Phone:914-665-7546
Practice Address - Fax:914-665-3395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
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
NY01369328Medicaid