Provider Demographics
NPI:1841357829
Name:ST. REGIS FALLS CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:ST. REGIS FALLS CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-856-9421
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:92 NORTH MAIN ST.
Mailing Address - City:ST. REGIS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12980
Mailing Address - Country:US
Mailing Address - Phone:518-856-9421
Mailing Address - Fax:518-856-0142
Practice Address - Street 1:92 NORTH MAIN ST.
Practice Address - Street 2:
Practice Address - City:ST. REGIS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12980
Practice Address - Country:US
Practice Address - Phone:518-856-9421
Practice Address - Fax:518-856-0142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
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
NY01452400Medicaid