Provider Demographics
NPI:1740336387
Name:WHEATLAND-CHILI CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:WHEATLAND-CHILI CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-889-6244
Mailing Address - Street 1:13 BECKWITH AVENUE
Mailing Address - Street 2:BUSINESS OFFICE
Mailing Address - City:SCOTTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14546-1399
Mailing Address - Country:US
Mailing Address - Phone:585-889-6244
Mailing Address - Fax:585-889-6284
Practice Address - Street 1:13 BECKWITH AVE
Practice Address - Street 2:BUSINESS OFFICE
Practice Address - City:SCOTTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14546-1303
Practice Address - Country:US
Practice Address - Phone:585-889-6244
Practice Address - Fax:585-889-6284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
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
NY01872233Medicaid