Provider Demographics
NPI:1740337856
Name:SCHOHARIE CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:SCHOHARIE CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENOR ACCOUNT CLERK
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUPPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-295-8121
Mailing Address - Street 1:PO BOX 430
Mailing Address - Street 2:136 ACADEMY DRIVE
Mailing Address - City:SCHOHARIE
Mailing Address - State:NY
Mailing Address - Zip Code:12157-0430
Mailing Address - Country:US
Mailing Address - Phone:518-295-8121
Mailing Address - Fax:518-295-9510
Practice Address - Street 1:136 ACADEMY DRIVE
Practice Address - Street 2:
Practice Address - City:SCHOHARIE
Practice Address - State:NY
Practice Address - Zip Code:12157-0430
Practice Address - Country:US
Practice Address - Phone:518-295-8121
Practice Address - Fax:518-295-9510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01426631Medicaid