Provider Demographics
NPI:1811052624
Name:HAMMONDSPORT CENTRAL SCHOOLS
Entity type:Organization
Organization Name:HAMMONDSPORT CENTRAL SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BOWER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:607-569-5200
Mailing Address - Street 1:8272 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:HAMMONDSPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14840-9701
Mailing Address - Country:US
Mailing Address - Phone:607-569-5200
Mailing Address - Fax:607-569-5230
Practice Address - Street 1:8272 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HAMMONDSPORT
Practice Address - State:NY
Practice Address - Zip Code:14840-9701
Practice Address - Country:US
Practice Address - Phone:607-569-5200
Practice Address - Fax:607-569-5230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01369213Medicaid