Provider Demographics
NPI:1720126899
Name:JORDAN-ELBRIDGE CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:JORDAN-ELBRIDGE CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST SUPERINTENDENT FOR BUSINESS
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-689-8500
Mailing Address - Street 1:9 N CHAPPELL ST
Mailing Address - Street 2:PO BOX 902
Mailing Address - City:JORDAN
Mailing Address - State:NY
Mailing Address - Zip Code:13080-9431
Mailing Address - Country:US
Mailing Address - Phone:315-689-8500
Mailing Address - Fax:315-689-0084
Practice Address - Street 1:9 N CHAPPELL ST
Practice Address - Street 2:
Practice Address - City:JORDAN
Practice Address - State:NY
Practice Address - Zip Code:13080-9431
Practice Address - Country:US
Practice Address - Phone:315-689-8500
Practice Address - Fax:315-689-0084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
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
NY01512894Medicaid