Provider Demographics
NPI:1982754008
Name:AUSABLE VALLEY CENTRAL SCHOOL
Entity Type:Organization
Organization Name:AUSABLE VALLEY CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SBE
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-834-2867
Mailing Address - Street 1:1273 ROUTE 9N
Mailing Address - Street 2:
Mailing Address - City:CLINTONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12924-4214
Mailing Address - Country:US
Mailing Address - Phone:518-834-2867
Mailing Address - Fax:518-834-9188
Practice Address - Street 1:1273 ROUTE 9N
Practice Address - Street 2:
Practice Address - City:CLINTONVILLE
Practice Address - State:NY
Practice Address - Zip Code:12924-4214
Practice Address - Country:US
Practice Address - Phone:518-834-2867
Practice Address - Fax:518-834-9188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
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
NY01452386Medicaid